Provider Demographics
NPI:1386914851
Name:CASTANOS, INES CAROLINA (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:INES
Middle Name:CAROLINA
Last Name:CASTANOS
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8724 MOUNTAIN CREST DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8021
Mailing Address - Country:US
Mailing Address - Phone:737-708-6018
Mailing Address - Fax:
Practice Address - Street 1:8724 MOUNTAIN CREST DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8021
Practice Address - Country:US
Practice Address - Phone:737-708-6018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-30
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1403106H00000X
TX203256106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist