Individual
RASCHID SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4552
Mailing address
147 N 17TH ST, BLOOMFIELD, NJ 07003-5816
(917) 848-8293
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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