Individual provider · Type 1 NPI

Ivan Santiago

Addiction (Substance Use Disorder) Counselor · Springfield, MA

NPI number 1376902866 Active

Practice location

110 Maple St
Springfield, MA 01105-1864

Call (413) 732-7419 Map

Fax (413) 781-1059

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1376902866

Ivan Santiago's National Provider Identifier is 1376902866, issued on Feb 12, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Springfield, MA. The record was last updated on Jul 20, 2021.