| NPI | 1194494013 |
|---|---|
| Former Name | ANGELA RENEE SANTANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 24-05-11115) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHA-I-004945) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2026-07-01 |