Delos Santos, Shane

Delos Santos, Shane is an individual health care provider with primary practice located at 302 E 24Th St , Bryan TX 77803-5303. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Delos Santos, Shane can be contacted via phone (979) 822-6467.

Contact Information

Primary practice address
302 E 24Th St Bryan TX 77803-5303
Phone: (979) 822-6467
Fax: (979) 821-9448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 19890 Texas

Profile Details

NPI number 1932235934
LBN Legal business name Delos Santos, Shane
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932235934 NPPES
Texas Other 19890 LPC LICENSE

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