Provider Demographics
NPI:1407207038
Name:CASTELAIN, SEBASTIEN MICHEL
Entity type:Individual
Prefix:MR
First Name:SEBASTIEN
Middle Name:MICHEL
Last Name:CASTELAIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027 PIONEER WAY
Mailing Address - Street 2:APT 66
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-7910
Mailing Address - Country:US
Mailing Address - Phone:707-696-4123
Mailing Address - Fax:
Practice Address - Street 1:16390 MAIN ST
Practice Address - Street 2:
Practice Address - City:GUERNEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95446-9677
Practice Address - Country:US
Practice Address - Phone:707-869-4007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95082750163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult