Castenell, Michael Louis

Castenell, Michael Louis is an sole proprietor health care provider with primary practice located at 209 N Lorena Ave , Farmington NM 87401-8446. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Castenell, Michael Louis can be contacted via phone (505) 324-1791.

Contact Information

Primary practice address
209 N Lorena Ave Farmington NM 87401-8446
Phone: (505) 324-1791
Fax: (505) 324-8262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-0034 New Mexico

Profile Details

NPI number 1477638906
LBN Legal business name Castenell, Michael Louis
Credentials DSW, LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477638906 NPPES
New Mexico MEDICAID 97686
New Mexico MEDICAID NM100582

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