Individual
CARL SANTTI JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
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
Update your record
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