Most Relevant Information
Provider Data
| NPI Number: | 1003694605 |
| Provider Name: | TANIA LINET OCAMPO CASTRO |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | CG61480345 |
Most Important Dates
| Enumeration Date: | 09/15/2023 |
| Last Updated: | 09/15/2023 |
Provider Practice Location
127 W BOONE AVE
SPOKANE
WA
992012309
Practice Location Phone/Fax
| Phone: | 5098384651 |
| Fax: |
Provider Mailing Location
107 S DIVISION ST
SPOKANE
WA
992021510
Provider Mailing Phone/Fax
| Phone: | 5098384651 |
| Fax: |