Provider Demographics
NPI:1083763809
Name:SANTOR, JAMES T (MA MS MFT LADC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:T
Last Name:SANTOR
Suffix:
Gender:M
Credentials:MA MS MFT LADC
Other - Prefix:
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Mailing Address - Street 1:601 WHITNEY RANCH DRIVE
Mailing Address - Street 2:SUITE C12
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014
Mailing Address - Country:US
Mailing Address - Phone:702-458-5686
Mailing Address - Fax:702-458-4475
Practice Address - Street 1:601 WHITNEY RANCH DRIVE
Practice Address - Street 2:SUITE C12
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014
Practice Address - Country:US
Practice Address - Phone:702-458-5686
Practice Address - Fax:702-458-4475
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV124L101YA0400X
NV0539106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist