Individual
MR. MARCOS DONALD CASTRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
242 W. SHAMROCK, PINEVILLE, LA 71361
(318) 484-6222
Mailing address
PO BOX 7118, ALEXANDRIA, LA 71306-0118
(318) 484-6822
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9095
LA
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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