Individual provider · Type 1 NPI
Eduardo Santiago, PhD
Professional Counselor · Edmond, OK
NPI number
1013312255
Active
Practice location
400 S Broadway # 6
Edmond, OK 73034-3848
Mailing address
104 Maple St
Elgin, OK 73538-8835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1013312255
Eduardo Santiago, PhD's National Provider Identifier is 1013312255, issued on Oct 30, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Edmond, OK. The record was last updated on Oct 30, 2014.