Individual
MAXINE SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 AMERICAN LEGION DR, NORTH ADAMS, MA 01247-3942
(413) 496-4435
Mailing address
124 AMERICAN LEGION DR, NORTH ADAMS, MA 01247-3942
(413) 664-4541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
S49294528
MA
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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