Doctor Name: | CARL SANTTI JR |
NPI Number: | 1407836919 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 0904000761 |
Business Practice Address: | 4356 Bonney Rd Ste 101 Virginia Beach, VA - 234521200 |
Business Phone Number: | 7574983314 |
Business Fax Number: | 7574983311 |
Mailing Address: | 4356 Bonney Rd, Ste 101 VIRGINIA BEACH |
State: | VA |
Postal Code: | 234521200 |
Phone Number: | 7574983314 |
Fax Number: | 7574983311 |
NPI Enumeration Date: | 01/19/2006 |
NPI Last Update Date: | 01/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0904000761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |