Individual
MR. MANUEL OCTAVIO CASTANEDA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9015 MURRAY AVE STE 100, GILROY, CA 95020-3675
(408) 842-7138
Mailing address
9015 MURRAY AVE STE 100, GILROY, CA 95020-3675
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17170
CA
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/19/2018
Last updated
08/26/2024
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