Individual
MAYRA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 7TH AVE STE 150, SANTA CRUZ, CA 95062-4669
(831) 288-4358
Mailing address
200 7TH AVE STE 150, SANTA CRUZ, CA 95062-4669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
MPSS-AHDGNQ
CA
Other
Enumeration date
09/06/2022
Last updated
01/23/2024
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