Individual
JACQUELINE CASTELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6454 VAN NUYS BLVD STE 111, VAN NUYS, CA 91401-1445
(818) 336-6411
Mailing address
295 E EDGEMONT DR, SAN BERNARDINO, CA 92404-2210
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
94025782
CA
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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