| Doctor Name: | DR. ANDREW C. J. SANTORA |
| NPI Number: | 1073503694 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | EDD, APN, CNS, PCC-S |
| License Number: | E0000982-SUPV |
| Business Practice Address: | 1204 Stuart St Nw Massillon, OH - 446462210 |
| Business Phone Number: | 3303244242 |
| Business Fax Number: | 3304091211 |
| Mailing Address: | 1204 Stuart St Nw, MASSILLON |
| State: | OH |
| Postal Code: | 446462210 |
| Phone Number: | 3303244242 |
| Fax Number: | 3304091211 |
| NPI Enumeration Date: | 10/25/2005 |
| NPI Last Update Date: | 08/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E0000982-SUPV |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |