Individual
JENNIFER CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 BASES BLVD APT 107, KISSIMMEE, FL 34741-6517
(407) 362-8765
Mailing address
1901 BASES BLVD APT 107, KISSIMMEE, FL 34741-6517
(407) 362-8765
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TR0400X
FL
101YP1600X
Pastoral Counselor
Primary
N210000012966
FL
103TR0400X
Rehabilitation Psychologist
103TR0400X
FL
171M00000X
Case Manager/Care Coordinator
103TR0400X
FL
Other
Enumeration date
12/10/2015
Last updated
07/25/2025
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