Individual
MARITZA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
8515 GREENVILLE AVE STE N108, DALLAS, TX 75243-7035
(214) 221-0855
(214) 221-1437
Mailing address
8515 GREENVILLE AVE STE N108, DALLAS, TX 75243-7035
(214) 221-0855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10953
TX
Other
Enumeration date
05/15/2018
Last updated
06/09/2020
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