Castro, Jacqueline Mercedes

Castro, Jacqueline Mercedes is an individual health care provider with primary practice located at 19231 Victory Blvd Ste 110 , Reseda CA 91335-6321. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Castro, Jacqueline Mercedes can be contacted via phone (818) 708-4500.

Contact Information

Primary practice address
19231 Victory Blvd Ste 110 Reseda CA 91335-6321
Phone: (818) 708-4500
Fax: (818) 654-1956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW69687 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1295866432
LBN Legal business name Castro, Jacqueline Mercedes
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Mar 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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