Most Relevant Information
Provider Data
| NPI Number: | 1003467309 |
| Provider Name: | JAKE SANTILLI LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 102877-01 |
Most Important Dates
| Enumeration Date: | 09/27/2019 |
| Last Updated: | 09/27/2019 |
Provider Practice Location
2155 ROUTE 22B
MORRISONVILLE
NY
129623417
Practice Location Phone/Fax
| Phone: | 5185638000 |
| Fax: |
Provider Mailing Location
2155 ROUTE 22B
MORRISONVILLE
NY
129623417
Provider Mailing Phone/Fax
| Phone: | 5185638000 |
| Fax: |