Individual
TOMMY CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
2010 AL LIPSCOMB WAY, DALLAS, TX 75215-2773
(214) 421-6705
Mailing address
2010 AL LIPSCOMB WAY, DALLAS, TX 75215-2773
(214) 421-6705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15413
TX
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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