SERGIO XAVIER SANTOS

PHOENIX, AZ
NPI1144479718
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-1627)
Enumeration Date2008-09-18
Last Update Date2019-01-03
Business Address
MR. SERGIO XAVIER SANTOS BA, LISAC
5501 N 19TH AVE STE 103
PHOENIX, AZ 85015
Phone number: 602-589-0500
Mailing Address
MR. SERGIO XAVIER SANTOS BA, LISAC
5501 N 19TH AVE STE 103
PHOENIX, AZ 85015-2451
Phone number: 602-589-0500