person
Shane Delos Santos, LPC
Professional Counselor in Bryan, Texas
NPI 1932235934

Shane Delos Santos is a Professional Counselor based in Bryan, TX and is specialized in Professional. Shane Delos Santos practices in Bryan, TX and has the professional credentials of LPC. The NPI Number for Shane Delos Santos is 1932235934 and holds a License No. 19890 (Texas).

The current practice location address for Shane Delos Santos is 302 E 24Th St, Bryan, TX and can be reached out via phone at 979-822-6467 and via fax at 979-821-9448.

Location: 302 E 24Th St, Bryan, TX, 77805-4588
person
Provider Profile Details
NPI Number
1932235934
Provider Name
Shane Delos Santos
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
302 E 24Th St, Bryan, TX, 77805-4588
Phone Number
979-822-6467
Fax Number
979-821-9448
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19890 01 TX LPC LICENSE
institution
Provider Business Practice Location Address Details
Address
302 E 24Th St
City
State
Zip
77803-5303
Phone Number
979-822-6467
Fax Number
979-821-9448
person
Provider Business Mailing Address Details
Address
302 E 24Th St
City
State
Zip
77803-5303
Phone Number
979-822-6467
Fax Number
979-821-9448
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
19890 (Texas)
Definition
Definition to come...
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