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Individual

ANTHONY S CASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
201 HIGHLAND DR, BUENA, WA 98921-0139
(509) 248-1800
Mailing address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61007115
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
91-0755984
WA
Enumeration date
05/08/2023
Last updated
05/08/2023
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