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Individual

ITZHEL SANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12901 FENTON AVE, SYLMAR, CA 91342-4808
(818) 644-0494
Mailing address
12901 FENTON AVE, SYLMAR, CA 91342-4808

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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