Individual
LYNDA SANTILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1161/1181 N EL DORADO PL, TUCSON, AZ 85715-4607
(520) 748-7108
Mailing address
1161 N EL DORADO PL STE 203, TUCSON, AZ 85715-4607
(207) 487-1085
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-19649
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089741
—
AZ
Enumeration date
03/03/2021
Last updated
06/18/2024
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