Individual
ALFRED DELOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 780-3390
Mailing address
1241 E MCDEVITT AVE, JACKSON, MI 49203-6069
(517) 812-0856
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015078
MI
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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