Provider Demographics
NPI:1639767395
Name:CASTANEDA-ARTEAGA, ESTEPHANIE (PRE-LICENSED)
Entity Type:Individual
Prefix:
First Name:ESTEPHANIE
Middle Name:
Last Name:CASTANEDA-ARTEAGA
Suffix:
Gender:F
Credentials:PRE-LICENSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24W500 MAPLE AVE STE 216A
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6057
Mailing Address - Country:US
Mailing Address - Phone:630-423-6010
Mailing Address - Fax:
Practice Address - Street 1:24W500 MAPLE AVE STE 216A
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6057
Practice Address - Country:US
Practice Address - Phone:630-423-6010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health