Individual
MAGDA I SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 WOODLAND ST, HARTFORD, CT 06105-1233
(860) 520-6244
Mailing address
103 WOODLAND ST, HARTFORD, CT 06105-1233
(860) 520-6244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/10/2012
Last updated
06/18/2012
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