Individual provider · Type 1 NPI

Jose Eduardo Carrillo, M.A., QMHP

Mental Health Counselor · Mcminnville, OR

NPI number 1669990503 Active

Practice location

420 NE 5th St
Mcminnville, OR 97128-4603

Call (503) 434-7462 Map

Mailing address

2550 Carson Loop
Forest Grove, OR 97116-1632

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669990503

Jose Eduardo Carrillo, M.A., QMHP's National Provider Identifier is 1669990503, issued on Aug 30, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mcminnville, OR. The record was last updated on Aug 30, 2017.