| Doctor Name: | MRS. ELIZABETH CASTRO CASTANEDA |
| NPI Number: | 1356628549 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC, NCC |
| License Number: | LPC-4820 |
| Business Practice Address: | 1334 Miller Ave Burley, ID - 833181729 |
| Business Phone Number: | 2083120107 |
| Business Fax Number: | |
| Mailing Address: | 609 S H St, RUPERT |
| State: | ID |
| Postal Code: | 833502044 |
| Phone Number: | 2084311716 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2011 |
| NPI Last Update Date: | 11/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC-4820 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |