Individual provider · Type 1 NPI

Stacey J. Santiago

Mental Health Counselor · Sebastopol, CA

NPI number 1790362663 Active

Practice location

1800 Hwy 116 N
Sebastopol, CA 95472-2607

Call (707) 634-9070 Map

Mailing address

781 E Cotati Ave Apt C2
Rohnert Park, CA 94928-4030

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XNone listed
Behavior Technician 106S00000XNone listed
Rehabilitation Practitioner 225400000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790362663

Stacey J. Santiago's National Provider Identifier is 1790362663, issued on Mar 26, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sebastopol, CA. The record was last updated on Aug 26, 2025.