Individual
LIDIA CASTILLO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1539 MCHENRY AVE, MODESTO, CA 95350-4528
(559) 558-4051
Mailing address
1539 MCHENRY AVE, MODESTO, CA 95350-4528
(209) 702-0139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
120802
CA
Other
Enumeration date
09/24/2018
Last updated
02/08/2024
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