Individual
GABRIEL SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1501 YARMOUTH AVE, BOULDER, CO 80304-0564
(720) 546-2141
Mailing address
5103 WILLIAMS FORK TRL APT 108, BOULDER, CO 80301-3417
(720) 546-2141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0107957
CO
Other
Enumeration date
12/27/2018
Last updated
03/11/2022
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