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NPI Code Detail

MEDICARE: NUBIA AURORA CASILLAS CASTILLO

MEDICARE: NUBIA AURORA CASILLAS 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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811624943
Entity Type Code : Individual
Provider Name (Legal Business Name) : NUBIA AURORA CASILLAS CASTILLO
Provider Business Mailing Address
First Line : 8760 CUYAMACA ST STE 100
Second Line :
City : SANTEE
State : CA
Zip : 92071-4256
Country : US
Telephone Number : 619-383-6868
Fax Number :
Provider Business Practice Location Address
First Line : 8760 CUYAMACA ST STE 100
Second Line :
City : SANTEE
State : CA
Zip : 92071-4256
Country : US
Telephone Number : 619-383-6868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2022
Last Update Date : 02/17/2026

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1588470298 — MICHELLE HASH CMPSS
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1659248748 — RONALD J HOOPER
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Directions to “ NUBIA AURORA CASILLAS CASTILLO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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