Provider Demographics
NPI:1245774975
Name:CASTILLO PAULINO, JANICE
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:CASTILLO PAULINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 ESSEX ST APT 3
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-1721
Mailing Address - Country:US
Mailing Address - Phone:781-309-2128
Mailing Address - Fax:
Practice Address - Street 1:173 ESSEX ST APT 3
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-1721
Practice Address - Country:US
Practice Address - Phone:781-309-2128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor