Individual provider · Type 1 NPI

Jeanette P. Carrillo

Mental Health Counselor · Anaheim, CA

NPI number 1003987314 Active

Practice location

2035 E Ball Rd
Anaheim, CA 92806-5159

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1003987314

Jeanette P. Carrillo's National Provider Identifier is 1003987314, issued on Nov 10, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Anaheim, CA. The record was last updated on Jul 8, 2007.