Individual provider · Type 1 NPI

Yvonne Carrillo

Addiction (Substance Use Disorder) Counselor · Bloomington, CA

NPI number 1174830343 Active

Practice location

18612 Santa Ana Ave
Bloomington, CA 92316-2636

Fax (909) 421-7128

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XBIII00210322 (CA)

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

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About NPI 1174830343

Yvonne Carrillo's National Provider Identifier is 1174830343, issued on Sep 8, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, CA. The record was last updated on Aug 3, 2026.