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1245956960
JOSE CASTILLO
MODESTO, CA
NPI
1245956960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 12428)
Enumeration Date
2022-10-14
Last Update Date
2022-10-14
Business Address
JOSE CASTILLO
4700 ENTERPRISE WAY
MODESTO, CA 95356
Phone number: 209-550-6013
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Mailing Address
JOSE CASTILLO
KAISER PERMANENTE BEHAVIORAL HEALTH DEPARTMENT 4700 ENTERPRISE WAY
MODESTO, CA 95356
Phone number: 185-526-8409
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