Doctor Name: | JULIE A CASTANEDA |
NPI Number: | 1154681724 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 64609 |
Business Practice Address: | 7980 Anchor Dr Bldg 500 Port Arthur, TX - 776428285 |
Business Phone Number: | 4097276400 |
Business Fax Number: | 4097276403 |
Mailing Address: | 7980 Anchor Dr Bldg 500, PORT ARTHUR |
State: | TX |
Postal Code: | 776428285 |
Phone Number: | 4097276400 |
Fax Number: | 4097276403 |
NPI Enumeration Date: | 05/16/2012 |
NPI Last Update Date: | 07/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 64609 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |