| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MIRIAM YESENIA CASTELLON | 1427316074 | 2024-09-07 |
Miriam Yesenia Castellon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1427316074. Registration indicates Miriam Yesenia Castellon is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Miriam Yesenia Castellon |
| Practice Office Address | 1904 RICHLAND AVE CERES, CA US |
| Practice Office Telephone | 2093122467 |
| Practice Office Fax | 2094910876 |
| Mailing Address | 1904 RICHLAND AVE CERES, CA 953074562 US |
| Business Telephone | 2093122467 |
| Business Fax | 2094910876 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 815 W 18th St | Merced, CA 953404604 | 2097262125 7522 / 2097264430 |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 103330
CA |