MEDICARE: BRITTNEY 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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	01394	NV
2	106H00000X	Marriage & Family Therapist	2639	NV

General Provider Information

NPI Number	:	1871906248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTNEY SANTILLO

Provider Business Mailing Address
First Line	:	3639 BLACKSTONE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3761
Country	:	US
Telephone Number	:	702-279-1274
Fax Number	:

Provider Business Practice Location Address
First Line	:	3639 BLACKSTONE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3761
Country	:	US
Telephone Number	:	702-279-1274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2014
Last Update Date	:	10/02/2024

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Directions to “ BRITTNEY SANTILLO ” Practice Location

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