Individual
REBECA EUNICE ABIGAIL CASTELLANOS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
67 PRESIDENT ST # 861, CHARLESTON, SC 29425-5712
(843) 792-0686
Mailing address
67 PRESIDENT ST # 861, CHARLESTON, SC 29425-5712
(843) 792-0686
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
1736
SC
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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