Provider Demographics
NPI:1578397253
Name:CASTELLON, MARIA MACARENA (MS,LAPC, NCC)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:MACARENA
Last Name:CASTELLON
Suffix:
Gender:F
Credentials:MS,LAPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-2936
Mailing Address - Country:US
Mailing Address - Phone:724-980-7640
Mailing Address - Fax:
Practice Address - Street 1:1010 BRODHEAD RD STE 2
Practice Address - Street 2:
Practice Address - City:MOON TWP
Practice Address - State:PA
Practice Address - Zip Code:15108-2322
Practice Address - Country:US
Practice Address - Phone:412-339-1782
Practice Address - Fax:412-754-3088
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC000461101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health