Provider Demographics
NPI:1316339021
Name:KASTEN, VALERIE (MED, LCPC, RPT, NC)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:
Last Name:KASTEN
Suffix:
Gender:F
Credentials:MED, LCPC, RPT, NC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2625
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:IL
Mailing Address - Zip Code:62902-2625
Mailing Address - Country:US
Mailing Address - Phone:618-351-9700
Mailing Address - Fax:618-351-9701
Practice Address - Street 1:1257 E WALNUT ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62901-5002
Practice Address - Country:US
Practice Address - Phone:618-351-9700
Practice Address - Fax:618-351-9701
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006328101YP2500X
MO2001005762101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL03932057OtherBLUE CROSS BLUE SHIELD
IL086052OtherHEALTH ALLIANCE