Santana, Juan Carlos

Santana, Juan Carlos is an individual health care provider with primary practice located at 2155 Main St , Springfield MA 01104-3301. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Santana, Juan Carlos can be contacted via phone (413) 736-0395.

Contact Information

Primary practice address
2155 Main St Springfield MA 01104-3301
Phone: (413) 736-0395
Fax: (413) 734-1651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 3680 Puerto Rico
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3680 Puerto Rico

Profile Details

NPI number 1407282387
LBN Legal business name Santana, Juan Carlos
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2013
Last updated Jun 10th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407282387 NPPES
Massachusetts Other 1134107113 NHP
Massachusetts Other 997303 NHP
Massachusetts Other 71756 NHP
Massachusetts Other 1134107113 NHP
Massachusetts Other 12529 NHP
Massachusetts Other 1134107113 NHP
Massachusetts Other 042622756 NHP
Massachusetts Other 1134107113 NHP
Massachusetts MEDICAID 1307576 NHP

Popular Providers