GABRIEL SANTIAGO

BOULDER, CO
NPI1659843829
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  0107957)
Enumeration Date2018-12-27
Last Update Date2022-03-11
Business Address
GABRIEL SANTIAGO MA
1501 YARMOUTH AVE
BOULDER, CO 80304-0564
Phone number: 720-546-2141
Mailing Address
GABRIEL SANTIAGO MA
5103 WILLIAMS FORK TRL APT 108
BOULDER, CO 80301-3417
Phone number: 720-546-2141