Most Relevant Information
Provider Data
| NPI Number: | 1003257692 |
| Provider Name: | SHANA A SANTANA BA |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/10/2013 |
| Last Updated: | 07/10/2013 |
Provider Practice Location
141 E MAIN ST
WATERBURY
CT
067022310
Practice Location Phone/Fax
| Phone: | 2035749000 |
| Fax: | 2035749006 |
Provider Mailing Location
141 E MAIN ST
WATERBURY
CT
067022310
Provider Mailing Phone/Fax
| Phone: | 2035749000 |
| Fax: | 2035749006 |