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NPI Code Detail

MEDICARE: CYNTHIA CASTILLO LCPC

MEDICARE: CYNTHIA CASTILLO LCPC
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 CounselorCP5504NV
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1417249228
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA CASTILLO LCPC
Provider Business Mailing Address
First Line : 3017 W CHARLESTON BLVD STE 70
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1928
Country : US
Telephone Number : 702-823-3910
Fax Number : 702-823-1313
Provider Business Practice Location Address
First Line : 3017 W CHARLESTON BLVD STE 70
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1928
Country : US
Telephone Number : 702-823-3910
Fax Number : 702-823-1313
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2011
Last Update Date : 01/11/2024

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Directions to “ CYNTHIA CASTILLO LCPC” Practice Location

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