Individual
CARL SANTTI JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4356 BONNEY RD, STE 101, VIRGINIA BEACH, VA 23452-1200
(757) 498-3314
(757) 498-3311
Mailing address
4356 BONNEY RD, STE 101, VIRGINIA BEACH, VA 23452-1200
(757) 498-3314
(757) 498-3311
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0904000761
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945495
—
VA
01
—
1407836919
OPTIMA
VA
01
—
1861562472
VA PREMIER
VA
05
—
8923574
—
VA
Enumeration date
01/19/2006
Last updated
01/11/2013
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