MEDICARE: CARMEN CASTRO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1437961265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN CASTRO

Provider Business Mailing Address
First Line	:	530 UNION AVE STE 3A
Second Line	:
City	:	MIDDLESEX
State	:	NJ
Zip	:	08846-1934
Country	:	US
Telephone Number	:	347-593-8575
Fax Number	:

Provider Business Practice Location Address
First Line	:	530 UNION AVE STE 3A
Second Line	:
City	:	MIDDLESEX
State	:	NJ
Zip	:	08846-1934
Country	:	US
Telephone Number	:	347-593-8575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2025
Last Update Date	:	01/20/2025

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Directions to “ CARMEN CASTRO ” Practice Location

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