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Individual

ANITA J SANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
16731 N FORK RIDGE DR, FLORISSANT, MO 63034-1041
(314) 406-4409
Mailing address
16731 N FORK RIDGE DR, FLORISSANT, MO 63034-1041
(314) 406-4409

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
MO
101YM0800X
Mental Health Counselor
Primary
MO
101YP2500X
Professional Counselor

Other

Enumeration date
08/30/2018
Last updated
10/16/2023
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