Provider Demographics
NPI:1144663410
Name:SANTANA, ADRIANA ELIZABETH (MFT-INTERN)
Entity type:Individual
Prefix:MS
First Name:ADRIANA
Middle Name:ELIZABETH
Last Name:SANTANA
Suffix:
Gender:F
Credentials:MFT-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 W SAHARA AVE
Mailing Address - Street 2:SUITE B21
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-6002
Mailing Address - Country:US
Mailing Address - Phone:702-908-5419
Mailing Address - Fax:
Practice Address - Street 1:3150 W SAHARA AVE
Practice Address - Street 2:SUITE B21
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-6002
Practice Address - Country:US
Practice Address - Phone:702-908-5419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0491106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist