Gary Alexander Santis
Marriage & Family Therapist in San Diego, CA. Individual provider (NPI-1).
NPI number1679008643
StatusActive
Last updated in NPPESFeb 22, 2024
Details
- NPI
- 1679008643
- Entity type
- Individual (NPI-1)
- Name
- Gary Alexander Santis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2017
- Certification date
- Feb 14, 2024
- Last updated
- Feb 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 134828 | CA | Yes |
Practice location
1202 Morena Blvd Ste 300San Diego, CA 92110-3844
Phone 619-276-8112
Mailing address
1202 Morena Blvd Ste 300San Diego, CA 92110-3844
Phone 619-276-8112
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