MEDICARE: ESTEFANIA BRIANNA ACEVEDO-CASTILLO LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	106H00000X	Marriage & Family Therapist	162011	CA

General Provider Information

NPI Number	:	1285112607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTEFANIA BRIANNA ACEVEDO-CASTILLO LMFT

Provider Business Mailing Address
First Line	:	5201 GREAT AMERICA PKWY STE 320
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95054-1140
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 NORD HWY
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95973-9685
Country	:	US
Telephone Number	:	530-774-0428
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2018
Last Update Date	:	06/15/2026

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