Individual ProviderChristina L CastillejoCounselorBehavioral Health & Social Service ProvidersPractice Address333 W Roosevelt St, Phoenix, AZ 85003-1324(623) 695-7980(480) 747-1214PECOS EnrollmentBased on the most recent information from CMS, provider Christina L Castillejo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1740166180Provider TypeIndividualFull NameCastillejo, Christina LCredentialLAC, NCCGenderFemaleSole ProprietorNoEnumeration Date8/12/2025Last Updated8/12/2025Contact InformationPractice LocationPractice Address333 W Roosevelt St, Phoenix, AZ 85003-1324Phone(623) 695-7980Fax(602) 691-0233Mailing LocationMailing Address8102 N 19th Dr Apt T236, Phoenix, AZ 85021-5135Phone(480) 747-1214FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLAC-23612ArizonaCode101YS0200XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense4178114Arizona