Provider Demographics
NPI:1235258997
Name:LEONZO-CASTILLO, KARINA (LMFT #52896)
Entity Type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:
Last Name:LEONZO-CASTILLO
Suffix:
Gender:F
Credentials:LMFT #52896
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-1000
Mailing Address - Country:US
Mailing Address - Phone:661-205-4108
Mailing Address - Fax:661-635-2983
Practice Address - Street 1:3300 TRUXTUN AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3137
Practice Address - Country:US
Practice Address - Phone:661-868-7822
Practice Address - Fax:661-868-7829
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52896106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist