Individual
LATREECE M MAYES-SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
107 CARMEL ST, NEW HAVEN, CT 06511-3103
(203) 747-2369
Mailing address
107 CARMEL ST, NEW HAVEN, CT 06511-3103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
11/09/2021
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