Provider Demographics
NPI:1821851452
Name:CASTANEDA, ANDRES FELIPE
Entity Type:Individual
Prefix:
First Name:ANDRES
Middle Name:FELIPE
Last Name:CASTANEDA
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 1:28494 WESTINGHOUSE PL STE 206
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-0933
Mailing Address - Country:US
Mailing Address - Phone:661-718-4772
Mailing Address - Fax:
Practice Address - Street 1:28494 WESTINGHOUSE PL STE 206
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-0933
Practice Address - Country:US
Practice Address - Phone:661-718-4772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA144053101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health