Individual
MRS. CHRISTIE TERESE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
(805) 781-4275
(805) 781-1227
Mailing address
1037 PARKVIEW LN, PASO ROBLES, CA 93446-4309
(805) 712-9913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI38300423
CA
171M00000X
Case Manager/Care Coordinator
A1564750
CA
171M00000X
Case Manager/Care Coordinator
R1405360920
CA
Other
Enumeration date
08/11/2020
Last updated
12/24/2024
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