| Doctor Name: | MR. ANGEL PEREZ SANTIAGO |
| NPI Number: | 1669769576 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PC |
| License Number: | |
| Business Practice Address: | 216 Silver St Apt 3 Cedar Bluff, VA - 246099161 |
| Business Phone Number: | 5672254777 |
| Business Fax Number: | |
| Mailing Address: | 216 Silver St Apt 3, CEDAR BLUFF |
| State: | VA |
| Postal Code: | 246099161 |
| Phone Number: | 5672254777 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2011 |
| NPI Last Update Date: | 06/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |