Individual
MELINDA MARICELA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC, AGS
Contact information
Practice address
32 BOULEVARD DEL REY DAVID, NOGALES, AZ 85621-9667
(520) 281-9189
(520) 281-0916
Mailing address
489 N ARROYO BLVD, NOGALES, AZ 85621-2644
(520) 287-4713
(520) 287-9794
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC11548
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
912172
AHCCCS
AZ
Enumeration date
09/27/2006
Last updated
07/08/2007
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