Individual
ITZHEL SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
18769
CA
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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