Individual
TANYA CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 CARIBOU LN, KERRVILLE, TX 78028-4303
(830) 370-3410
Mailing address
120 CARIBOU LN, KERRVILLE, TX 78028-4303
(830) 370-3410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
94991
TX
Other
Enumeration date
05/07/2024
Last updated
05/09/2024
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