Individual
JORDONA SANTIAGO-STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
559 16TH ST, OAKLAND, CA 94612-1515
(510) 238-5091
Mailing address
14 CORTE LADO, MARTINEZ, CA 94553-2110
(925) 497-3069
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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