Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edith De Jesus Casillas Rodriguez, SUDRC20312

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1861148066

Edith De Jesus Casillas Rodriguez, SUDRC20312 is an Addiction (Substance Use Disorder) Counselor in Galt, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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Practice location Address checks out

750 Spaans Dr
Galt, CA 95632-8609
Phone: (209) 744-9909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20312 (CA)

Record details

NPI number1861148066
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC20312
Sole proprietorYes
NPI enumeratedFebruary 25, 2022
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

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