Ivelisse Vallellanes Santiago, MA
Counselor, Mental Health in Shelton, WA. Individual provider (NPI-1).
NPI number1215410550
StatusActive
Last updated in NPPESSep 12, 2018
Details
- NPI
- 1215410550
- Entity type
- Individual (NPI-1)
- Name
- Ivelisse Vallellanes Santiago
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2018
- Last updated
- Sep 12, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
627 W Franklin StShelton, WA 98584-3504
Phone 360-763-5610 · Fax 360-462-0449
Mailing address
1650 Honeysuckle Ln Sw Apt 22-304Tumwater, WA 98512-6099
Phone 939-777-6978
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 106 Mental Health Counselor providers in Shelton · All 803 providers in Shelton
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