Individual
DR. MICHAEL LOUIS CASTENELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DSW, LISW
Contact information
Practice address
209 N LORENA AVE, FARMINGTON, NM 87401-8446
(505) 324-1791
(505) 324-8262
Mailing address
209 N LORENA AVE, FARMINGTON, NM 87401-8446
(505) 324-1791
(505) 324-8262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0034
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97686
—
NM
05
—
NM100582
—
NM
Enumeration date
10/25/2006
Last updated
07/09/2007
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