Individual
MARY PAMELA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6885 CLIFFDALE RD STE 202, FAYETTEVILLE, NC 28314-2834
(910) 339-0400
(910) 339-0396
Mailing address
1948 ELLIE AVE, FAYETTEVILLE, NC 28314-8490
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
A14591
NC
Other
Enumeration date
02/04/2019
Last updated
02/26/2019
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