Provider Demographics
NPI:1245706993
Name:SANTIAGO, SARAH CATHERINE (LPC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:CATHERINE
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 W WASHINGTON ST UNIT 923
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-6038
Mailing Address - Country:US
Mailing Address - Phone:906-428-6141
Mailing Address - Fax:
Practice Address - Street 1:100 COLES DR STE 3B
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4010
Practice Address - Country:US
Practice Address - Phone:906-428-6141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-21
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015353101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional