Individual
KRYSTLE JADE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5616 BAUME WAY, SALIDA, CA 95368-9510
(209) 798-9540
Mailing address
5616 BAUME WAY, SALIDA, CA 95368-9510
(209) 798-9540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
CA
175T00000X
Peer Specialist
MPSS-IYMPNH
CA
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
05/13/2025
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