Individual
BI'SHAN RA'VON CASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
3255 WING ST, SAN DIEGO, CA 92110-4638
(619) 221-8600
Mailing address
3255 WING ST, SAN DIEGO, CA 92110-4638
(619) 221-8600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9886
CA
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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