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Stefanie Santiago

NPI Registration Record

Provider / OrganizationNPIDate Certified
STEFANIE SANTIAGO12054530572020-06-28
Entity TypeIndividual
Provider Name Stefanie Santiago LMFT, LCADC
Practice Office Address823 MAIN AVE
PASSAIC, NJ US
Practice Office Telephone9739284260
Mailing Address80 VALLEY RD APT 2
MONTCLAIR, NJ 070422209 US
Business Telephone9732817164
Contact Endpoints
professional email [][email protected]
HPT Codes
CodeLicense NoState
101YA0400X37LC00318100 NJ
106H00000X PRIMARY37FI00193500 NJ
OPI Codes

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