Individual provider · Type 1 NPI

Edith De Jesus Casillas Rodriguez, SUDRC #20312

Addiction (Substance Use Disorder) Counselor · Galt, CA

NPI number 1861148066 Active

Practice location

750 Spaans Dr
Galt, CA 95632-8609

Call (209) 744-9909 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20312 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1861148066

Edith De Jesus Casillas Rodriguez, SUDRC #20312's National Provider Identifier is 1861148066, issued on Feb 25, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Galt, CA. The record was last updated on Jan 29, 2025.