Individual
AMY DIANE CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1508 GARNAAS DR, AUSTIN, TX 78758-2220
(512) 797-5776
Mailing address
1508 GARNAAS DR, AUSTIN, TX 78758-2220
(512) 797-5776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
82732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82732
DO NOT HAVE
TX
Enumeration date
05/06/2022
Last updated
05/06/2022
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