Doctor Name: | SHERYL L CASTOR |
NPI Number: | 1417253089 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | MC60163653 |
Business Practice Address: | 160 Wapato Way Manson, WA - 98831 |
Business Phone Number: | 5096797267 |
Business Fax Number: | |
Mailing Address: | Po Box 500, MANSON |
State: | WA |
Postal Code: | 988310500 |
Phone Number: | 5096797267 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2011 |
NPI Last Update Date: | 01/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MC60163653 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |