Individual
THERESA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CASAC-T
Contact information
Practice address
6204 WOODSIDE AVE, WOODSIDE, NY 11377
(718) 898-5085
Mailing address
4404 QUEENS BLVD, CONSULTATION CENTER 2 FL, SUNNYSIDE, NY 11104
(718) 898-5085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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