Individual provider · Type 1 NPI
Julissa De Santiago
Professional Counselor · Stockton, CA
NPI number
1831810548
Active
Practice location
445 N San Joaquin St
Stockton, CA 95202-2026
Fax (209) 444-8905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1831810548
Julissa De Santiago's National Provider Identifier is 1831810548, issued on Sep 9, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stockton, CA. The record was last updated on Sep 9, 2022.