Provider Demographics
NPI:1023201019
Name:CASTLE, ANA ALICIA (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:ALICIA
Last Name:CASTLE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:
Other - Last Name:CASTLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4000 LONG BEACH BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2617
Mailing Address - Country:US
Mailing Address - Phone:805-252-2509
Mailing Address - Fax:
Practice Address - Street 1:4000 LONG BEACH BLVD STE 210
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2617
Practice Address - Country:US
Practice Address - Phone:805-252-2509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health