Provider Demographics
NPI:1538362462
Name:CASTELLANOS, EDGAR HUGO
Entity type:Individual
Prefix:MR
First Name:EDGAR
Middle Name:HUGO
Last Name:CASTELLANOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19265 REAVIS WAY
Mailing Address - Street 2:
Mailing Address - City:PRUNEDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93907-1321
Mailing Address - Country:US
Mailing Address - Phone:831-596-2324
Mailing Address - Fax:831-663-2568
Practice Address - Street 1:150 CAYUGA ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2684
Practice Address - Country:US
Practice Address - Phone:831-755-7838
Practice Address - Fax:831-755-7841
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor