Bianca Castillo
Individual provider Active NPI Mental Health Counselor · Ketchikan, AK
NPI 1316540255 · NPPES record last updated Nov 20, 2020
Key facts
- NPI
- 1316540255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 721 Stedman St
Ketchikan, AK 99901-6632 - Phone
- (907) 225-7825
- Fax
- (907) 225-1541
- NPI assigned
- Nov 20, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
721 Stedman St
Ketchikan, AK 99901-6632
Mailing address
721 Stedman St
Ketchikan, AK 99901-6632
Phone (907) 225-7825
Other providers in Ketchikan, AK
- Carr-Gottstein Foods Co
- Michael Carson
- Kathryn Lois Carssow
- Natalie Carter
- Nicole Castile-McKay
- Kristen Castruita
- Catholic Community Service
- Catholic Community Service
- Cedar & Spruce Counseling
- Megan Cessnun
All providers in Ketchikan, AK · Mental Health Counselor in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.