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Individual
JAIRO ANDY CASTRO MANZANO
Active
Individual
JAIRO ANDY CASTRO MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1431190521
CA
106H00000X
Marriage & Family Therapist
Primary
146991
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/21/2023
Last updated
05/24/2024
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