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Individual

JAVIER DEL CASTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, CAC III

Contact information

Practice address
3239 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(720) 404-2058
(719) 275-4209
Mailing address
3239 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(720) 404-2058
(303) 832-1492

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1903
CO
1041C0700X
Clinical Social Worker
Primary
991653
CO

Other

Enumeration date
10/12/2006
Last updated
08/26/2020
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