Provider Demographics
NPI:1205069069
Name:CASTANON, YOLANDA SORTO (LMFT)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:SORTO
Last Name:CASTANON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:
Other - Last Name:SORTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11535 AVENUE 264
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-9315
Mailing Address - Country:US
Mailing Address - Phone:559-747-3984
Mailing Address - Fax:
Practice Address - Street 1:11535 AVENUE 264
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277
Practice Address - Country:US
Practice Address - Phone:559-747-3984
Practice Address - Fax:559-747-3642
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT79872106H00000X
CALMFT114688106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist