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General NPI Number Information
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NPI Number | 1740166180
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Entity Type | Individual
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Provider Name | CHRISTINA L CASTILLEJO LAC, NCC
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 333 W ROOSEVELT ST
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City | PHOENIX
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State | AZ
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Zip | 85003-1324
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Country | US
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Telephone | 623-695-7980
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Fax | 602-691-0233
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Provider Business Mailing Address
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Address Line | 8102 N 19TH DR APT T236
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City | PHOENIX
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State | AZ
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Zip | 85021-5135
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Country | US
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Telephone | 480-747-1214
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 4178114
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LAC-23612
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License Number State | AZ
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