Virginia Castillo, LCPC

Individual provider Active NPI Professional Counselor · Harwood Heights, IL

NPI 1164848727 · NPPES record last updated Mar 6, 2014

Key facts

NPI
1164848727
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
180007788 (IL)
Practice address
4522 N Newland Ave
Harwood Heights, IL 60706-4843
Phone
(773) 719-5300
NPI assigned
Mar 6, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180007788ILMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180007788 IL Yes

Addresses

Primary practice location

4522 N Newland Ave
Harwood Heights, IL 60706-4843

Mailing address

4522 N Newland Ave
Harwood Heights, IL 60706-4843
Phone (773) 719-5300

Other providers in Harwood Heights, IL

All providers in Harwood Heights, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.