Individual
MS. ROSITA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 79 BOX 1510, OJO ENCINO, NM 87013-9612
(505) 731-1505
(505) 731-1502
Mailing address
HCR 79 BOX 1510, CUBA, NM 87013
(505) 731-1505
(505) 731-1502
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
006084
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198284
MANAGER HEALTH SYSTEM
NM
Enumeration date
06/20/2011
Last updated
06/20/2011
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