Provider Demographics
NPI:1619913084
Name:CASTEELE, JOHN LEWIS JR (LMFT, LMHC, CDP)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:LEWIS
Last Name:CASTEELE
Suffix:JR
Gender:M
Credentials:LMFT, LMHC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9881 BRIDGEPORT WAY SW
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-6124
Mailing Address - Country:US
Mailing Address - Phone:253-589-1611
Mailing Address - Fax:253-589-1544
Practice Address - Street 1:9881 BRIDGEPORT WAY SW
Practice Address - Street 2:SUITE B
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-6124
Practice Address - Country:US
Practice Address - Phone:253-589-1611
Practice Address - Fax:253-589-1544
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00002471101YA0400X
WALH00006610101YM0800X
WALF00001490106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist