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NPI Code Detail

MEDICARE: MRS. AIMEE CASTILLO

MEDICARE: MRS. AIMEE CASTILLO
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1598938698
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AIMEE CASTILLO
Provider Business Mailing Address
First Line : 611 E BELMONT AVE
Second Line :
City : FRESNO
State : CA
Zip : 93701-1502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 611 E BELMONT AVE
Second Line :
City : FRESNO
State : CA
Zip : 93701-1502
Country : US
Telephone Number : 237-342-0291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2008
Last Update Date : 04/09/2008

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Directions to “ MRS. AIMEE CASTILLO ” Practice Location

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