Individual provider · Type 1 NPI
Deadra D. Carrillo, M.A. LPC
Mental Health Counselor · Bloomfield, NM
NPI number
1023154085
Active
Practice location
333 Road 4990
Bloomfield, NM 87413-9626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0510 (NM) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Bloomfield
About NPI 1023154085
Deadra D. Carrillo, M.A. LPC's National Provider Identifier is 1023154085, issued on Jan 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomfield, NM. The record was last updated on Jul 8, 2007.