Healthcare Provider Details

I. General information

NPI: 1548401219
Provider Name (Legal Business Name): CHRISTINA CASTRO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2009
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 E COOLEY DR STE 116
COLTON CA
92324-3901
US

IV. Provider business mailing address

1007 E COOLEY DR STE 116
COLTON CA
92324-3901
US

V. Phone/Fax

Practice location:
  • Phone: 951-481-0399
  • Fax:
Mailing address:
  • Phone: 951-481-0399
  • Fax: 951-481-0399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number63735
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW29173
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: