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General NPI Number Information
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NPI Number | 1881407146
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Entity Type | Individual
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Provider Name | MICHELLE LUCINDA CASTILLO CADC II
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Gender | Female
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 5178 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90805-6510
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Country | US
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Telephone | 818-996-1051
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Fax |
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Provider Business Mailing Address
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Address Line | 2860 W ELMLAWN DR
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City | ANAHEIM
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State | CA
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Zip | 92804-3913
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Country | US
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Telephone | 714-797-3143
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A063651223
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License Number State | CA
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