Provider Demographics
NPI:1477567949
Name:KASTEN, JOHN LUTHER JR (LCPC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:LUTHER
Last Name:KASTEN
Suffix:JR
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 OHIO ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-2752
Mailing Address - Country:US
Mailing Address - Phone:207-745-8790
Mailing Address - Fax:207-942-9877
Practice Address - Street 1:1195 OHIO ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-2752
Practice Address - Country:US
Practice Address - Phone:207-947-6576
Practice Address - Fax:207-947-6576
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC57101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health