Individual
CARLOS TOM CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 966-4459
Mailing address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 966-4459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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