Provider Demographics
NPI:1417741059
Name:CASTEL DE ORO, JESSICA MICHELE (LPC)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:MICHELE
Last Name:CASTEL DE ORO
Suffix:
Gender:
Credentials:LPC
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:MICHELE
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3617 S LUNDY AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-6023
Mailing Address - Country:US
Mailing Address - Phone:520-528-0391
Mailing Address - Fax:
Practice Address - Street 1:2950 N DODGE BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-2012
Practice Address - Country:US
Practice Address - Phone:520-327-9863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-23389101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional