Provider Demographics
NPI:1801783683
Name:SANTOSUOSSO, REBECCA JO GIEL (MHC-LP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:JO GIEL
Last Name:SANTOSUOSSO
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:JO
Other - Last Name:GIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:54 STACEY WAY
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-8377
Mailing Address - Country:US
Mailing Address - Phone:518-577-5425
Mailing Address - Fax:
Practice Address - Street 1:54 STACEY WAY
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-8377
Practice Address - Country:US
Practice Address - Phone:518-577-5425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor