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Individual

JASMINE EILEEN SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
219 NILES ST, ELIZABETH, NJ 07202-3911
(845) 576-2338
Mailing address
219 NILES ST, ELIZABETH, NJ 07202-3911
(845) 576-2338

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
37PC00611500
NJ
101YP2500X
Professional Counselor
Primary
37PC00611500
NJ

Other

Enumeration date
04/29/2015
Last updated
06/15/2021
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