Provider Demographics
NPI:1942338264
Name:SANTIAGO, YVONNE P (LMHC)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:P
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:YVONNE
Other - Middle Name:M
Other - Last Name:PINEIRO - CARRERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:113 SPRINGWATER DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7745
Mailing Address - Country:US
Mailing Address - Phone:561-339-1928
Mailing Address - Fax:561-748-5383
Practice Address - Street 1:113 SPRINGWATER DR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7745
Practice Address - Country:US
Practice Address - Phone:561-339-1928
Practice Address - Fax:561-748-5383
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 7943101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health