Provider Demographics
NPI:1588996342
Name:CASTILLO, KARLA LORENA (MFTI)
Entity type:Individual
Prefix:MS
First Name:KARLA
Middle Name:LORENA
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 HOLLOWAY AVE # SSB205
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-1722
Mailing Address - Country:US
Mailing Address - Phone:415-338-7233
Mailing Address - Fax:415-338-6149
Practice Address - Street 1:1600 HOLLOWAY AVE # SSB205
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-1722
Practice Address - Country:US
Practice Address - Phone:415-338-7233
Practice Address - Fax:415-338-6149
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51093101YM0800X
CA51415106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health