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Juan Castillo JR.
Addiction (Substance Use Disorder) Counselor in Fowler, California
NPI 1003097817

Juan Castillo JR. is an Addiction (Substance Use Disorder) Counselor based in Fowler, CA and is specialized in Addiction (Substance Use Disorder). Juan Castillo JR. practices in Fowler, CA. The NPI Number for Juan Castillo JR. is 1003097817 and holds a License No. C060460819 (California).

The current practice location address for Juan Castillo JR. is 311 E Merced St, Fowler, CA and can be reached out via phone at 559-892-9452.

Location: 311 E Merced St, Fowler, CA, 93625-2316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003097817
Provider Name
Juan Castillo JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
311 E Merced St, Fowler, CA, 93625-2316
Phone Number
559-892-9452
Fax Number
Provider Enumeration Date
11/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101076 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
311 E Merced St
City
Fowler
State
California
Zip
93625-2316
Phone Number
559-892-9452
Fax Number
person
Provider Business Mailing Address Details
Address
311 E Merced St
City
Fowler
State
California
Zip
93625-2316
Phone Number
559-892-9452
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C060460819 (California)
Definition
Definition to come...
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