Individual
MARITZA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 GRAND CONCOURSE, SUITE 1DE, BRONX, NY 10458-2611
(347) 577-5844
Mailing address
2940 GRAND CONCOURSE, SUITE 1DE, BRONX, NY 10458-2611
(347) 577-5844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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