Individual
MR. NICHOLAS DECASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
3596 TAMIAMI TRL, SUITE 205, PORT CHARLOTTE, FL 33952-8263
(941) 255-5900
(941) 764-8285
Mailing address
3596 TAMIAMI TRL, SUITE 205, PORT CHARLOTTE, FL 33952-8263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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