Individual
MR. SANTIAGO CRISTOBAL GRIEGO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
904 E FAIRVIEW LN UNIT B, ESPANOLA, NM 87532-2806
(505) 692-4708
Mailing address
PO BOX 151, ALCALDE, NM 87511-0151
(505) 692-4708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0103461
NM
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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