SHANTAYLAH CASTNER

LAKEPORT, CA
NPI1023696119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   12318)
Enumeration Date2021-03-30
Last Update Date2024-10-09
Business Address
SHANTAYLAH CASTNER SUDRC
160 S MAIN ST
LAKEPORT, CA 95453-5017
Phone number: 707-467-2010
Mailing Address
SHANTAYLAH CASTNER SUDRC
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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