Individual
JESSICA LEIGH CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
408 S MAIN ST STE B, ROCK SPRINGS, WY 82901-6247
(307) 374-4014
Mailing address
PO BOX 1102, ROCK SPRINGS, WY 82902-1102
(307) 374-4014
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
621
WY
101YP2500X
Professional Counselor
Primary
LPC-1366
WY
Other
Enumeration date
09/13/2011
Last updated
03/16/2023
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