Individual
ANN-MARIE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 NW 12TH AVE, MIAMI, FL 33136-1005
(786) 243-6660
Mailing address
1601 NW 12TH AVE, MIAMI, FL 33136-1005
(786) 473-4854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH21230
FL
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021606700
—
FL
Enumeration date
06/22/2017
Last updated
04/09/2024
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