Individual
JILL CASTILLO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW CADCIII
Contact information
Practice address
26 KESSEL COURT, #200, MADISON, WI 53711
(608) 278-8200
(608) 833-6932
Mailing address
8007 EXCELSIOR DRIVE, MADISON, WI 53717
(608) 829-5238
(608) 833-6932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7198
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39392200
—
WI
Enumeration date
03/24/2006
Last updated
07/08/2007
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