Individual
MR. JOHN GILBERTO SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSHS, MATS, MCAP
Contact information
Practice address
13279 US HIGHWAY 301, BRYCEVILLE, FL 32009-1255
(904) 374-1733
(904) 503-2336
Mailing address
13279 US HIGHWAY 301, BRYCEVILLE, FL 32009-1255
(904) 374-1733
(904) 503-2336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5693
FL
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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