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General NPI Number Information
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NPI Number | 1063998151
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Entity Type | Individual
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Provider Name | ADRIANNA GABRIELLA DE'SANTIAGO M.A., LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 765 RAND AVE APT 209
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City | OAKLAND
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State | CA
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Zip | 94610-2212
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Country | US
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Telephone | 510-480-0938
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Fax | 510-480-0948
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Provider Business Mailing Address
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Address Line | PO BOX 804
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City | BERKELEY
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State | CA
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Zip | 94701-0804
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Country | US
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Telephone | 510-480-0938
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Fax | 510-480-0948
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 147045
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License Number State | CA
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