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Individual
MS. JENNIFER NICHOLE CASTRO
Active
Individual
MS. JENNIFER NICHOLE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106S00000X
Behavior Technician
—
CA
172V00000X
Community Health Worker
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689863516
—
CA
Enumeration date
10/07/2021
Last updated
11/08/2021
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