Provider Demographics
NPI:1285361816
Name:DE LOS SANTOS, FRANCES MONSERRAT (LCMHCA)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:MONSERRAT
Last Name:DE LOS SANTOS
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4620 TOURNAMENT DR APT 201
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-2593
Mailing Address - Country:US
Mailing Address - Phone:336-491-2845
Mailing Address - Fax:
Practice Address - Street 1:3041 BERKS WAY STE 102C
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-6777
Practice Address - Country:US
Practice Address - Phone:919-283-6083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17708101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health