Provider Information for 1386327617
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Mr. CHRISTOPHER TATE SANTOS MA, LPC
Sex: Male
NPI: 1386327617
Last Updated: 2024-08-13
Certification Date: 2024-08-13
Certification Date: 2024-08-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1386327617 | ||||||||
| Enumeration Date | 2023-08-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 38 N 6TH ST EASTON, PA 18042-3524 United States Phone: 610-905-2386 | Fax: | ||||||||
| Primary Practice Address | 38 N 6TH ST EASTON, PA 18042-3524 United States Phone: 610-905-2386 | Fax: | ||||||||
| Secondary Practice Address(es) | 2151 EMRICK BLVD STE 201 | ||||||||
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