Individual provider · Type 1 NPI

Jaime Enrique Carrillo Morales, RADT (R1625610725)

Addiction (Substance Use Disorder) Counselor · Anaheim, CA

NPI number 1124905302 Active

Practice location

601 S Harbor Blvd
Anaheim, CA 92805-4521

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1625610725 (CA)

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

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About NPI 1124905302

Jaime Enrique Carrillo Morales, RADT (R1625610725)'s National Provider Identifier is 1124905302, issued on Aug 19, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Anaheim, CA. The record was last updated on Aug 22, 2025.