Provider Demographics
NPI:1649908591
Name:CASTANON, MARIA ISABEL (LPC-ASSOCIATE, NCC)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ISABEL
Last Name:CASTANON
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 WOODROW BEAN STE 129
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-4144
Mailing Address - Country:US
Mailing Address - Phone:915-383-7878
Mailing Address - Fax:
Practice Address - Street 1:5625 WOODROW BEAN STE 129
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-4125
Practice Address - Country:US
Practice Address - Phone:915-213-4290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88924101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional