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Individual
GUILLERMO CASTANEDA
Active
Individual
GUILLERMO CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
73499
TX
101YP2500X
Professional Counselor
Primary
73499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275942997
—
TX
Enumeration date
11/15/2016
Last updated
01/16/2020
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