Individual provider · Type 1 NPI
Ernesto Menjivar Santeliz, LADC I
Addiction (Substance Use Disorder) Counselor · Lynn, MA
NPI number
1306066543
Active
Practice location
181 Union St, 'suite C'
Lynn, MA 01901-1310
Fax (781) 346-6369
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1306066543
Ernesto Menjivar Santeliz, LADC I's National Provider Identifier is 1306066543, issued on Apr 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lynn, MA. The record was last updated on Jul 8, 2007.