| Mari Santiago, Llc | |
|
534 Washington St Ste 5 Ashland OR 97520-1682 | |
| (541) 636-7268 | |
| Not Available |
| Full Name | Mari Santiago, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 534 Washington St Ste 5, Ashland, Oregon |
| Authorized Official Name and Position | Mari Santiago Sargent (MANAGING MEMBER) |
| Authorized Official Contact | 5416367268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mari Santiago, Llc Po Box 736 Talent OR 97540-0736 Ph: () - | Mari Santiago, Llc 534 Washington St Ste 5 Ashland OR 97520-1682 Ph: (541) 636-7268 |
| NPI Number | 1871198937 |
|---|---|
| Provider Enumeration Date | 12/04/2020 |
| Last Update Date | 12/04/2020 |
| Certification Date | 12/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871198937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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