# KCASTILLO MARRIAGE FAMILY CHILD THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417656380
- **Authorized official:** KRYSTAL M. CASTILLO LMFT (OWNER)
- **Authorized official phone:** (559) 492-9411

## Contact information

- **Practice address:** 5151 N PALM AVE STE 750, FRESNO, CA 93704-2221
- **Practice address phone:** (559) 492-9411
- **Mailing address:** 5151 N PALM AVE STE 750, FRESNO, CA 93704-2221
- **Mailing address phone:** (559) 492-9411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2023
- **Last updated:** 02/28/2023