Provider Demographics
NPI:1710606025
Name:SANTIAGO, CHRISTINA EVA (APCC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:EVA
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 139
Mailing Address - Street 2:
Mailing Address - City:DENAIR
Mailing Address - State:CA
Mailing Address - Zip Code:95316-0139
Mailing Address - Country:US
Mailing Address - Phone:209-850-0844
Mailing Address - Fax:
Practice Address - Street 1:1351 GEER RD
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-3269
Practice Address - Country:US
Practice Address - Phone:209-427-5610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAPCC14634101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health