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Individual

PETER ANTHONY SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4716 LORINO ST, METAIRIE, LA 70006-2328
(504) 258-7035
Mailing address
4716 LORINO ST, METAIRIE, LA 70006-2328

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6158
LA
101YP2500X
Professional Counselor
6158
LA

Other

Enumeration date
05/24/2019
Last updated
05/24/2019
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