Individual
BLANCA SANTANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 SW 1ST ST STE 103, MIAMI, FL 33135-1695
(305) 644-6024
(305) 644-6025
Mailing address
850 NE 121ST ST, BISCAYNE PARK, FL 33161-6316
(786) 571-0573
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH23364
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/11/2014
Last updated
03/21/2023
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