MEDICARE: LAURA GONZALEZ CASTRO LPC

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	101YP2500X	Professional Counselor	0704014807	VA
2	101YP2500X	Professional Counselor	0701014555	VA

General Provider Information

NPI Number	:	1881331965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA GONZALEZ CASTRO LPC

Provider Business Mailing Address
First Line	:	4410 CLAIBORNE SQ E STE 334
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-2074
Country	:	US
Telephone Number	:	757-255-8841
Fax Number	:

Provider Business Practice Location Address
First Line	:	4410 CLAIBORNE SQ E
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-2071
Country	:	US
Telephone Number	:	757-255-8841
Fax Number	:

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

Provider Enumeration Date	:	05/19/2022
Last Update Date	:	02/02/2026

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