Individual
JORGE CASTILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 E FLAMINGO RD, 100, LAS VEGAS, NV 89119-5249
(702) 369-4357
(702) 369-4089
Mailing address
1640 E FLAMINGO RD, 100, LAS VEGAS, NV 89119-5249
(702) 369-4357
(702) 369-4089
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CADC 00752
NV
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/19/2011
Last updated
05/22/2014
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