Individual
STEPHANIE CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Mailing address
75 CLEARWATER CT, DALLAS, GA 30157-5228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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