Individual provider · Type 1 NPI

Benjamin Ray Carrillo

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1255504668 Active

Practice location

1700 S El Dorado St
Stockton, CA 95206-2000

Call (209) 460-0429 Map

Fax (209) 460-0428

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 1255504668

Benjamin Ray Carrillo's National Provider Identifier is 1255504668, issued on Apr 7, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Apr 7, 2008.