Kendra Lanai Castillo
Peer Specialist in Stockton, CA. Individual provider (NPI-1).
NPI number1316624323
StatusActive
Last updated in NPPESApr 6, 2026
Details
- NPI
- 1316624323
- Entity type
- Individual (NPI-1)
- Name
- Kendra Lanai Castillo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2023
- Certification date
- Apr 6, 2026
- Last updated
- Apr 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | MPSS-QHSVNL | CA | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 373H00000X | Day Training/Habilitation Specialist | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
620 N Aurora StStockton, CA 95202-2343
Phone 209-468-9370
Mailing address
620 N Aurora StStockton, CA 95202-2343
Phone 209-468-9370
Other practice locations
500 W Hospital Rd
French Camp, CA 95231-9693
French Camp, CA 95231-9693
Phone 209-263-9404
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All 68 Peer Specialist providers in Stockton · All 11,041 providers in Stockton
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