Healthcare Provider Details

I. General information

NPI: 1477438505
Provider Name (Legal Business Name): ROCIO CORTES CASTRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 W CENTER AVE STE C
VISALIA CA
93291-6050
US

IV. Provider business mailing address

PO BOX 1013
EXETER CA
93221-7013
US

V. Phone/Fax

Practice location:
  • Phone: 559-644-5624
  • Fax:
Mailing address:
  • Phone: 559-644-5624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163917
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: