Individual
ESTELLE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 PEMAQUID ST, INDIAN ORCHARD, MA 01151-1356
(413) 543-0855
Mailing address
80 PEMAQUID ST, INDIAN ORCHARD, MA 01151-1356
(413) 543-0855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
963
MA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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