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Individual

MR. RICHARD W CASTLE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
504 WILBORN AVE, SOUTH BOSTON, VA 24592-3120
(434) 572-6935
(434) 572-4827
Mailing address
504 WILBORN AVE, SOUTH BOSTON, VA 24592-3120
(434) 572-6935
(434) 572-4827

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701003393
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146152
ANTHEM MENTAL HEALTH
VA
01
2119464
CIGNA MENTAL HEALTH
VA
01
460998
ANTHEM MENTAL HEALTH
VA
01
O80137M
SENTERA MENTAL HEALTH
VA
Enumeration date
04/13/2006
Last updated
07/09/2007
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