Individual provider · Type 1 NPI

Mario Carrillo, LPC

Professional Counselor · Longmont, CO

NPI number 1407511314 Active

Practice location

1925 Mountain View Ave
Longmont, CO 80501-3128

Fax (720) 494-3108

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC.0017496 (CO)

Professional Counselor: Definition to come...

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About NPI 1407511314

Mario Carrillo, LPC's National Provider Identifier is 1407511314, issued on Nov 4, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Longmont, CO. The record was last updated on Nov 4, 2021.