MEDICARE: MS. JUDITH ANA CASTRO LMFT, LMT

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
1	106H00000X	Marriage & Family Therapist	T1117	OR

General Provider Information

NPI Number	:	1124315502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JUDITH ANA CASTRO LMFT, LMT

Provider Business Mailing Address
First Line	:	5 E 24TH AVE
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-2907
Country	:	US
Telephone Number	:	541-515-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 E 24TH AVE
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-2907
Country	:	US
Telephone Number	:	541-515-0900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2011
Last Update Date	:	03/28/2026

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