Provider Demographics
NPI:1316153281
Name:SANTORA, JAN LOUISE (MA)
Entity type:Individual
Prefix:MS
First Name:JAN
Middle Name:LOUISE
Last Name:SANTORA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1481 LANCASTER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:FREELAND
Mailing Address - State:WA
Mailing Address - Zip Code:98249-9539
Mailing Address - Country:US
Mailing Address - Phone:206-233-1021
Mailing Address - Fax:
Practice Address - Street 1:200 8TH AVE N
Practice Address - Street 2:UNITY COUNSELING
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5114
Practice Address - Country:US
Practice Address - Phone:206-233-1021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist