MEDICARE: VIVIANA CASTILLO CONTRERAS LMHCA

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	101YM0800X	Mental Health Counselor	LH70010238	WA
2	101Y00000X	Counselor
3	101YM0800X	Mental Health Counselor	MC61323427	WA
4	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1346823887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIANA CASTILLO CONTRERAS LMHCA

Provider Business Mailing Address
First Line	:	100 N HOWARD ST STE W
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0508
Country	:	US
Telephone Number	:	206-475-5058
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 NE 97TH ST STE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-2042
Country	:	US
Telephone Number	:	509-720-7446
Fax Number	:

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

Provider Enumeration Date	:	05/03/2021
Last Update Date	:	12/29/2025

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