Most Relevant Information
Provider Data
| NPI Number: | 1003563222 |
| Provider Name: | STEPHANIE SANTIAGO LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 19788 |
Most Important Dates
| Enumeration Date: | 03/08/2022 |
| Last Updated: | 03/08/2022 |
Provider Practice Location
3801 AVALON PARK EAST BLVD
ORLANDO
FL
328284900
Practice Location Phone/Fax
| Phone: | 4073733313 |
| Fax: |
Provider Mailing Location
3801 AVALON PARK EAST BLVD STE 228
ORLANDO
FL
328284902
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |