Doctor Name: | ENRIQUE LOPEZ-CASTRO |
NPI Number: | 1003291790 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1501 Fruitvale Ave Oakland, CA - 946012322 |
Business Phone Number: | 5105356200 |
Business Fax Number: | 5105354167 |
Mailing Address: | 1501 Fruitvale Ave, OAKLAND |
State: | CA |
Postal Code: | 946012322 |
Phone Number: | 5105356200 |
Fax Number: | 5105354167 |
NPI Enumeration Date: | 07/23/2015 |
NPI Last Update Date: | 07/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |