Individual
KRISTIANN NOEL SANTAMARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
172 S PANTOPS DR STE C, CHARLOTTESVILLE, VA 22911-8672
(434) 249-1304
(434) 961-2556
Mailing address
172 S PANTOPS DR STE C, CHARLOTTESVILLE, VA 22911-8672
(434) 249-1304
(434) 961-2556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004448
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8952426
—
VA
Enumeration date
09/13/2006
Last updated
01/07/2022
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