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JUAN CASTILLO

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1003097817

Individual Registrant:
 JUAN  CASTILLO 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
311 E MERCED ST  FOWLER, CA 93625-2316 US
Tel: 559-892-9452  Fax: --

Contact information for business:
311 E MERCED ST  FOWLER, CA 93625-2316 US
Tel: 559-892-9452  Fax: --

Registration Information:
NPI: 1003097817
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDI-CAL101076CA01




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