Individual provider · Type 1 NPI
Lawrence Carrillo
Addiction (Substance Use Disorder) Counselor · Moreno Valley, CA
NPI number
1306156070
Active
Practice location
23119 Cottonwood Ave Ste A100
Moreno Valley, CA 92553-9661
Mailing address
23119 Cottonwood Ave Ste 100
Moreno Valley, CA 92553-9661
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1306156070
Lawrence Carrillo's National Provider Identifier is 1306156070, issued on Oct 15, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moreno Valley, CA. The record was last updated on Apr 17, 2024.