Individual
FRANCISCO CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 E 100 S, SALT LAKE CITY, UT 84111-1702
(801) 707-1294
Mailing address
1134 E 700 S, SALT LAKE CITY, UT 84102-3932
(801) 574-8704
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
01/04/2021
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