Provider Demographics
NPI:1194887984
Name:ROSARIO-CASTRO, SARY LISSETTE (MFC, LPC)
Entity type:Individual
Prefix:MISS
First Name:SARY
Middle Name:LISSETTE
Last Name:ROSARIO-CASTRO
Suffix:
Gender:F
Credentials:MFC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. LOIZA VALLEY 392 CALLE LAUREL
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-3530
Mailing Address - Country:US
Mailing Address - Phone:413-285-0070
Mailing Address - Fax:
Practice Address - Street 1:URB. LOIZA VALLEY 392 CALLE LAUREL
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-3530
Practice Address - Country:US
Practice Address - Phone:413-285-0070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101YP1600X, 106H00000X
PR002498101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist