Provider Demographics
NPI:1770328841
Name:CASTLEMAN, HIJIRIKO (LPC)
Entity type:Individual
Prefix:
First Name:HIJIRIKO
Middle Name:
Last Name:CASTLEMAN
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 1:211 E LOGAN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83605-4883
Mailing Address - Country:US
Mailing Address - Phone:208-454-1480
Mailing Address - Fax:208-268-8444
Practice Address - Street 1:211 E LOGAN ST STE 201
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83605-4883
Practice Address - Country:US
Practice Address - Phone:208-454-1480
Practice Address - Fax:208-268-8444
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-10511101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional