Individual
JASON T CASPILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 412-4137
Mailing address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
305445
MN
Other
Enumeration date
10/22/2019
Last updated
10/21/2024
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