Provider Demographics
NPI:1760837215
Name:DESANTIS, JAMES MICHAEL (BA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MICHAEL
Last Name:DESANTIS
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Gender:M
Credentials:BA
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Mailing Address - Street 1:199 ROSEWOOD DR
Mailing Address - Street 2:STE 250
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1398
Mailing Address - Country:US
Mailing Address - Phone:978-338-1738
Mailing Address - Fax:978-922-6468
Practice Address - Street 1:800 CUMMINGS CTR
Practice Address - Street 2:STE 364-U
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6175
Practice Address - Country:US
Practice Address - Phone:978-338-1738
Practice Address - Fax:978-922-6468
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health