Doctor Name: | CRYSTAL PAULINE CASTILLO |
NPI Number: | 1841503117 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 12320 Whistler St Grand Terrace, CA - 923135550 |
Business Phone Number: | 9098004796 |
Business Fax Number: | |
Mailing Address: | 12320 Whistler St, GRAND TERRACE |
State: | CA |
Postal Code: | 923135550 |
Phone Number: | 9098004796 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2010 |
NPI Last Update Date: | 07/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |