Provider Demographics
NPI:1720373160
Name:SANTANA, ANDRES (CAC)
Entity Type:Individual
Prefix:MR
First Name:ANDRES
Middle Name:
Last Name:SANTANA
Suffix:
Gender:M
Credentials:CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 S CEDARBROOK RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6002
Mailing Address - Country:US
Mailing Address - Phone:610-481-0444
Mailing Address - Fax:610-481-9075
Practice Address - Street 1:4400 S CEDARBROOK RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6002
Practice Address - Country:US
Practice Address - Phone:610-481-0444
Practice Address - Fax:610-481-9075
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)