| Doctor Name: | JUAN CASTILLO |
| NPI Number: | 1003097817 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 3435 W Shaw Ave 101 Fresno, CA - 937113234 |
| Business Phone Number: | 5592751784 |
| Business Fax Number: | 5592751768 |
| Mailing Address: | 7539 N 1st St, Apt. #105 FRESNO |
| State: | CA |
| Postal Code: | 937203709 |
| Phone Number: | 5593499457 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2007 |
| NPI Last Update Date: | 08/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |