Individual
STEFANIE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LCADC
Contact information
Practice address
823 MAIN AVE, PASSAIC, NJ 07055-8401
(973) 928-4260
Mailing address
80 VALLEY RD APT 2, MONTCLAIR, NJ 07042-2209
(973) 281-7164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00318100
NJ
106H00000X
Marriage & Family Therapist
Primary
37FI00193500
NJ
Other
Enumeration date
06/28/2020
Last updated
06/28/2020
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