Provider Demographics
NPI:1104334978
Name:CASTON, DEMETRA (LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:DEMETRA
Middle Name:
Last Name:CASTON
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8105 RASOR BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0267
Mailing Address - Country:US
Mailing Address - Phone:949-274-7731
Mailing Address - Fax:
Practice Address - Street 1:8105 RASOR BLVD STE 303
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0267
Practice Address - Country:US
Practice Address - Phone:949-274-7731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-16
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74857101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health