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NPI Code Detail

MEDICARE: LETICIA CASTILLO

MEDICARE:   LETICIA  CASTILLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorNV

General Provider Information

NPI Number : 1063928992
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETICIA CASTILLO
Provider Business Mailing Address
First Line : 1413 PACIFIC ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-4031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1413 PACIFIC ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-4031
Country : US
Telephone Number : 702-430-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2017
Last Update Date : 09/11/2025

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Directions to “ LETICIA CASTILLO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.