Individual
MS. JENNIFER KRISTINE CASTANETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
235 S 3RD ST, SHELTON, WA 98584-2255
(360) 584-5803
Mailing address
235 S 3RD ST, SHELTON, WA 98584-2255
(360) 584-5803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00001359
WA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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