Individual provider · Type 1 NPI

Jacob Santiago

Addiction (Substance Use Disorder) Counselor · Woodland Hills, CA

NPI number 1104527258 Active

Practice location

6022 Variel Ave
Woodland Hills, CA 91367-3719

Fax (818) 337-7156

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104527258

Jacob Santiago's National Provider Identifier is 1104527258, issued on Mar 15, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Woodland Hills, CA. The record was last updated on Jan 9, 2026.