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NPI Profile for BETHANY J CASTILLO in CORRALES, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Counselor |
101Y00000X |
| NPI Number | 1356804991 |
|
| Status | Active | |
| Credentials | LMHC, NCC | |
| Entity | Individual | |
| Enumeration date | 04/10/2019 | |
| Last updated | 04/10/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BETHANY J CASTILLO
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BETHANY J CASTILLO, LMHC, NCC