Doctor Name: | THOMAS ISAAC CASTRO |
NPI Number: | 1023255072 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MFTI |
License Number: | 59479 |
Business Practice Address: | 1750 W Walnut Ave Ste B Visalia, CA - 932776233 |
Business Phone Number: | 5596271490 |
Business Fax Number: | |
Mailing Address: | 1750 W Walnut Ave Ste B, VISALIA |
State: | CA |
Postal Code: | 932776233 |
Phone Number: | 5596271490 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2009 |
NPI Last Update Date: | 01/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 59479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |