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Individual

KATHERINE CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSAA

Contact information

Practice address
1107 S ATKINSON AVE, ROSWELL, NM 88203-7154
(575) 578-4826
(575) 578-4828
Mailing address
1107 S ATKINSON AVE, ROSWELL, NM 88203-7154
(575) 578-4826
(575) 578-4828

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0208821
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CSA0208821
NM
Enumeration date
03/16/2020
Last updated
03/16/2020
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