Individual
ANA DISLA SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
291 EUSTIS ST, ROXBURY, MA 02119-2826
(617) 445-1123
Mailing address
302 EUSTIS ST, ROXBURY, MA 02119-3800
(617) 445-1123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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