Reyna Jade Castillo | Boston, MA • PECOS Search

Reyna Jade Castillo

Counselor

Behavioral Health & Social Service Providers

75 Amory St, Boston, MA 02119-1051

(857) 399-1920 (575) 779-3751

PECOS Enrollment

Based on the most recent information from CMS, provider Reyna Jade Castillo does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1164932950
Provider Type
Individual
Full Name
Castillo, Reyna Jade
Title
Miss

Gender
Female
Sole Proprietor
No
Enumeration Date
10/5/2017
Last Updated
10/5/2017

Contact Information

Practice Location

75 Amory St, Boston, MA 02119-1051

Unlisted Fax

Mailing Location

28 Glenellen Rd # 2, West Roxbury, MA 02132-5118

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 1093787095 Massachusetts