Provider Demographics
NPI:1134626757
Name:CASTILLO, JAVIOLA (LPC)
Entity type:Individual
Prefix:
First Name:JAVIOLA
Middle Name:
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 E FERN AVE STE 127
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1524
Mailing Address - Country:US
Mailing Address - Phone:956-709-9563
Mailing Address - Fax:
Practice Address - Street 1:801 E FERN AVE STE 127
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1524
Practice Address - Country:US
Practice Address - Phone:956-707-9563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-10
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional