Provider Information for 1427884550
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LEONARD HENRY CASILLAS LMFT
Sex: Male
NPI: 1427884550
Last Updated: 2024-09-13
Certification Date: 2024-09-13
Certification Date: 2024-09-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1427884550 | ||||||||
| Enumeration Date | 2024-09-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 471 W 7TH ST SAN PEDRO, CA 90731-3207 United States Phone: 310-833-6572 | Fax:310-833-1024 | ||||||||
| Primary Practice Address | 471 W 7TH ST SAN PEDRO, CA 90731-3207 United States Phone: 310-833-6572 | Fax:310-833-1024 | ||||||||
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