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1164138681
AVELINA C SANTIAGO
SAN JOSE, CA
NPI
1164138681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14391)
Enumeration Date
2023-01-27
Last Update Date
2023-01-27
Business Address
AVELINA C SANTIAGO CSAC, CADTP.
976 LENZEN AVE
SAN JOSE, CA 95126-2737
Phone number: 408-792-3720
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Mailing Address
AVELINA C SANTIAGO CSAC, CADTP.
111 N 12TH ST APT 1
SAN JOSE, CA 95112-3437
Phone number: 808-450-0428
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