Individual
AMANDA CELESTE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R1444050921
Contact information
Practice address
2504 W MANCHESTER BLVD, INGLEWOOD, CA 90305-2520
(323) 751-3804
(323) 750-5885
Mailing address
9207 BEACH ST, LOS ANGELES, CA 90002-2426
(213) 458-0118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1444050921
CA
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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