Healthcare Provider Details

I. General information

NPI: 1841124476
Provider Name (Legal Business Name): VANESSA ALICIA CASTRO ROJAS CADTP CEU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4705 N SONORA LN STE 113
FRESNO CA
93722-3965
US

IV. Provider business mailing address

3326 N MILLBROOK AVE APT 3326
FRESNO CA
93726-5810
US

V. Phone/Fax

Practice location:
  • Phone: 559-276-7558
  • Fax:
Mailing address:
  • Phone: 559-612-1557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: