Individual
MR. ERNESTO MENJIVAR SANTELIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC I
Contact information
Practice address
181 UNION ST, 'SUITE C', LYNN, MA 01901-1310
(781) 346-6367
(781) 346-6369
Mailing address
181 UNION ST, 'SUITE C', LYNN, MA 01901-1310
(781) 346-6367
(781) 346-6369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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