Individual
GARY SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS/CADC
Contact information
Practice address
340 LEGION DR STE 28, LEXINGTON, KY 40504-2716
(859) 276-0533
Mailing address
PO BOX 11161, LEXINGTON, KY 40574-1161
(859) 230-7073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1016
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
165945
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100590860
—
KY
Enumeration date
01/08/2015
Last updated
03/09/2021
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