Provider Demographics
NPI:1578206728
Name:SANTOS, HECTOR (MA, LPC, CATP, NCC)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:
Last Name:SANTOS
Suffix:
Gender:M
Credentials:MA, LPC, CATP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CLIFFSIDE MNR APT 11
Mailing Address - Street 2:
Mailing Address - City:EMSWORTH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-1638
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5301 BUTLER ST STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-2658
Practice Address - Country:US
Practice Address - Phone:412-441-9786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-15
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014365101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional