Individual provider · Type 1 NPI

Juan Carrillo

Addiction (Substance Use Disorder) Counselor · Madera, CA

NPI number 1053528182 Active

Practice location

1200 Maple St Ste 108
Madera, CA 93637-6330

Fax (559) 675-5149

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053528182

Juan Carrillo's National Provider Identifier is 1053528182, issued on May 17, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madera, CA. The record was last updated on Feb 19, 2008.