Provider Demographics
NPI:1730122979
Name:CASTRO, JAMES S (LPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:S
Last Name:CASTRO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2822 N LOOP 1604 W STE 111
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-4551
Mailing Address - Country:US
Mailing Address - Phone:210-273-4085
Mailing Address - Fax:
Practice Address - Street 1:2822 N LOOP 1604 W STE 111
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-4551
Practice Address - Country:US
Practice Address - Phone:210-273-4085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
TX15380101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029013201Medicaid