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Individual

PATSY CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC-2

Contact information

Practice address
161 E MAIN ST, SMITHTOWN, NY 11787-2879
(631) 636-2616
(631) 360-7578
Mailing address
25 PAR LN, BRENTWOOD, NY 11717-1913
(631) 636-2616

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28494
NY

Other

Enumeration date
07/19/2019
Last updated
07/19/2019
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