Individual provider · Type 1 NPI

Timothy Joseph Carrillo, RAS-C1106011523

Addiction (Substance Use Disorder) Counselor · Vista, CA

NPI number 1134472897 Active

Practice location

504 W Vista Way
Vista, CA 92083-5704

Call (760) 940-1836 Map

Fax (760) 940-1274

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC1106011523 (CA)

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

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About NPI 1134472897

Timothy Joseph Carrillo, RAS-C1106011523's National Provider Identifier is 1134472897, issued on Oct 18, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vista, CA. The record was last updated on Oct 18, 2012.