Individual
MR. GUSTAVO MIGUEL CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD COUNSELOR
Contact information
Practice address
3263 N FRONT STREET, PHILADELPHIA, PA 19140
(216) 426-1077
(215) 429-1086
Mailing address
250 S 13TH ST, APT. 1 C, PHILADELPHIA, PA 19107-5615
(215) 455-3768
(215) 426-1086
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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