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Individual

MRS. LAURA I CASTLE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPC CSAC

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
0701003404
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710101847
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
269693
ANTHEM MENTAL HEALTH
VA
01
289142
ANTHEM MENTAL HEALTH
VA
01
O81786
SENTERA MENTAL HEALTH
VA
Enumeration date
04/13/2006
Last updated
09/11/2025
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