Individual
SAMANTHA L CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
2842 S BUSINESS DR, SHEBOYGAN, WI 53081-6518
(920) 458-6527
(920) 458-6623
Mailing address
210 E MELVIN AVE, OSHKOSH, WI 54901-3850
(920) 458-6527
(920) 458-6623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
130-17635
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
WI
Enumeration date
05/24/2016
Last updated
05/24/2016
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