Provider Demographics
NPI:1164864971
Name:CASTILLO, WILLIAM JR (LMHC, CDP)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:CASTILLO
Suffix:JR
Gender:M
Credentials:LMHC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6523 CALIFORNIA AVENUE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136
Mailing Address - Country:US
Mailing Address - Phone:206-919-6844
Mailing Address - Fax:
Practice Address - Street 1:1725 ROXBURY AVENUE SW
Practice Address - Street 2:SUITE #5
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106
Practice Address - Country:US
Practice Address - Phone:206-932-6638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60208827101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health