Individual
MARICEL CASTORENA MASTRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 NE 41ST ST STE 100, VANCOUVER, WA 98662-7935
(360) 953-3199
Mailing address
3621 SE SUNRISE DR, CAMAS, WA 98607-9419
(206) 999-4504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHCA.MC.61604364
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
05/17/2026
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