Doctor Name: | MRS. LAURA I CASTLE |
NPI Number: | 1376507848 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC CSAC |
License Number: | 0701003404 |
Business Practice Address: | 504 Wilborn Ave South Boston, VA - 245923120 |
Business Phone Number: | 4345726935 |
Business Fax Number: | 4345724827 |
Mailing Address: | 504 Wilborn Ave, SOUTH BOSTON |
State: | VA |
Postal Code: | 245923120 |
Phone Number: | 4345726935 |
Fax Number: | 4345724827 |
NPI Enumeration Date: | 04/13/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0701003404 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |