Individual
MISS NANCY JULISSA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP-T
Contact information
Practice address
7501 COLLEGE BLVD, OVERLAND PARK, KS 66210-1944
(913) 451-8550
(913) 469-5266
Mailing address
10412 W 64TH TER, SHAWNEE, KS 66203-3536
(620) 260-0242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LMLP03060-T
KS
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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