Provider Demographics
NPI:1063938066
Name:CASTRENZE, PATRICK (LMFT)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:CASTRENZE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 CLEVELAND AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-5730
Mailing Address - Country:US
Mailing Address - Phone:612-712-6435
Mailing Address - Fax:
Practice Address - Street 1:239 CLEVELAND AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-5730
Practice Address - Country:US
Practice Address - Phone:612-712-6435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111496106H00000X
CAIMF83061106H00000X
MN4099106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist