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Mr. Sergio Xavier Santos, BA,LISAC
Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona
NPI 1144479718

Sergio Xavier Santos is an Addiction (Substance Use Disorder) Counselor based in Phoenix, AZ and is specialized in Addiction (Substance Use Disorder). Sergio Xavier Santos practices in Phoenix, AZ and has the professional credentials of BA,LISAC. The NPI Number for Sergio Xavier Santos is 1144479718 and holds a License No. LISAC-1627 (Arizona).

The current practice location address for Sergio Xavier Santos is 5501 N 19Th Ave Ste 103, Phoenix, AZ and can be reached out via phone at 602-589-0500 and via fax at 602-314-4552.

Location: 5501 N 19Th Ave Ste 103, Phoenix, AZ, 85015-2451
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Provider Profile Details
NPI Number
1144479718
Provider Name
Sergio Xavier Santos
Credential
BA,LISAC
Provider Entity Type
Individual
Gender
Male
Address
5501 N 19Th Ave Ste 103, Phoenix, AZ, 85015-2451
Phone Number
602-589-0500
Fax Number
602-314-4552
Provider Enumeration Date
09/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600241392 01 AZ MAGELLAN
institution
Provider Business Practice Location Address Details
Address
5501 N 19Th Ave Ste 103
City
State
Zip
85015
Phone Number
602-589-0500
Fax Number
602-314-4552
person
Provider Business Mailing Address Details
Address
5501 N 19Th Ave Ste 103
City
State
Zip
85015
Phone Number
602-589-0500
Fax Number
602-314-4552
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-1627 (Arizona)
Definition
Definition to come...
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