Individual provider · Type 1 NPI
Theresa Castillo, MS, CASAC-T
Addiction (Substance Use Disorder) Counselor · Woodside, NY
NPI number
1114353653
Active
Practice location
6204 Woodside Ave
Woodside, NY 11377
Mailing address
4404 Queens Blvd, Consultation Center 2 Fl
Sunnyside, NY 11104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1114353653
Theresa Castillo, MS, CASAC-T's National Provider Identifier is 1114353653, issued on Sep 16, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Woodside, NY. The record was last updated on Sep 16, 2013.