Healthcare Provider Details

I. General information

NPI: 1588592356
Provider Name (Legal Business Name): INES CASTILLO AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9825 COUNTY FARM RD
RIVERSIDE CA
92503-3504
US

IV. Provider business mailing address

9825 COUNTY FARM RD
RIVERSIDE CA
92503-3504
US

V. Phone/Fax

Practice location:
  • Phone: 951-892-0439
  • Fax:
Mailing address:
  • Phone: 951-892-0439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT161778
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: