Rogelio Ismael Santiago

NPI #1063043123 in Marina, California

Provider Information

NPI Number: 1063043123
Entity Type: Individual
Name: Rogelio Ismael Santiago
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 28, 2020
Last Updated: Jan 28, 2020

Practice Location

Address: 299 12TH ST STE B
City: Marina
State: California
ZIP Code: 93933-6003
Phone: (831) 883-3030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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