Most Relevant Information
Provider Data
| NPI Number: | 1003017815 |
| Provider Name: | JAIME SANTIAGO MED, LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 8229 |
Most Important Dates
| Enumeration Date: | 05/30/2007 |
| Last Updated: | 10/09/2019 |
Provider Practice Location
10 CENTER ST STE 210
CHICOPEE
MA
010132870
Practice Location Phone/Fax
| Phone: | 4132733736 |
| Fax: | 4139610893 |
Provider Mailing Location
10 CENTER ST STE 210
CHICOPEE
MA
010132870
Provider Mailing Phone/Fax
| Phone: | 4132733736 |
| Fax: | 4139610893 |