Individual provider · Type 1 NPI

Odette Santiago, CASAC

Addiction (Substance Use Disorder) Counselor · Jamaica, NY

NPI number 1982992434 Active

Practice location

82-68 164th Street
Jamaica, NY 11432

Fax (718) 334-5958

Mailing address

79-01 Broadway
Elmhurst, NY 11373-1329

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12538 (NY)

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

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About NPI 1982992434

Odette Santiago, CASAC's National Provider Identifier is 1982992434, issued on Jul 19, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamaica, NY. The record was last updated on Jul 19, 2011.