Individual ProviderTatiana CastroCounselorBehavioral Health & Social Service ProvidersPractice Address1149 N El Dorado St, Stockton, CA 95202-1305(209) 468-2335PECOS EnrollmentBased on the most recent information from CMS, provider Tatiana Castro does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1609324557Provider TypeIndividualFull NameCastro, TatianaGenderFemaleSole ProprietorNoEnumeration Date9/20/2016Last Updated9/20/2016Contact InformationPractice LocationPractice Address1149 N El Dorado St, Stockton, CA 95202-1305Phone(209) 468-2335FaxUnlisted FaxMailing LocationMailing Address1149 N El Dorado St, Stockton, CA 95202-1305Phone(209) 468-2335FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer