Doctor Name: | MS. ELSA CRISTINA CASTLEBERRY |
NPI Number: | 1013945633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MMFT, LPC |
License Number: | 14635 |
Business Practice Address: | 200 N River St Suite 100 H Seguin, TX - 781555607 |
Business Phone Number: | 8303055790 |
Business Fax Number: | |
Mailing Address: | 1418 Canary Ln, SEGUIN |
State: | TX |
Postal Code: | 781554002 |
Phone Number: | 8303055790 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 08/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 14635 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |