Individual provider · Type 1 NPI

Nancy Carrillo

Addiction (Substance Use Disorder) Counselor · Azusa, CA

NPI number 1205611142 Active

Practice location

23701 E East Fork Rd
Azusa, CA 91702-1477

Call (626) 910-1202 Map

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 1205611142

Nancy Carrillo's National Provider Identifier is 1205611142, issued on Aug 29, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Azusa, CA. The record was last updated on Apr 7, 2026.