Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 1493 | MT |
NPI | 1003134149 |
---|---|
Provider Name | Robin Rae Castle |
First Address | Great Falls, MT 59401-3259 |
Second Address | Great Falls, MT 59401-3259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2010 |
Last Update Date | 13/05/2010 |