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NPI Code Detail

MEDICARE: JODI SANTILLO

MEDICARE: JODI SANTILLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorE-0003086OH
2101YP2500XProfessional CounselorE.0003086-SUPVOH

General Provider Information

NPI Number : 1417050394
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI SANTILLO
Provider Business Mailing Address
First Line : 150 CROSS STREET
Second Line :
City : AKRON
State : OH
Zip : 44311-1026
Country : US
Telephone Number : 330-996-9141
Fax Number : 330-376-6726
Provider Business Practice Location Address
First Line : 919 2ND ST NE
Second Line :
City : CANTON
State : OH
Zip : 44704-1132
Country : US
Telephone Number : 330-454-7917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 02/26/2025

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Directions to “ JODI SANTILLO ” Practice Location

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