Provider Demographics
NPI:1346507985
Name:CASTRO, DAVID AUGUSTINE (LMFT)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:AUGUSTINE
Last Name:CASTRO
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 NORTH N STREET
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274
Mailing Address - Country:US
Mailing Address - Phone:559-736-8037
Mailing Address - Fax:559-684-1152
Practice Address - Street 1:209 NORTH N STREET
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274
Practice Address - Country:US
Practice Address - Phone:559-736-8037
Practice Address - Fax:559-684-1152
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CAMFT103639101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health