Provider Demographics
NPI:1851321681
Name:SANTOS, ALBERT SABLAN (MA,LMFT)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:SABLAN
Last Name:SANTOS
Suffix:
Gender:M
Credentials:MA,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 21ST ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-1618
Mailing Address - Country:US
Mailing Address - Phone:805-239-2886
Mailing Address - Fax:805-237-3760
Practice Address - Street 1:731 21ST ST
Practice Address - Street 2:SUITE C
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-1618
Practice Address - Country:US
Practice Address - Phone:805-239-2886
Practice Address - Fax:805-237-3760
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC33732106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist