Individual provider · Type 1 NPI

Daniel Carrillo, INTERN

Addiction (Substance Use Disorder) Counselor · San Jacinto, CA

NPI number 1679961825 Active

Practice location

1370 S State St Ste A
San Jacinto, CA 92583-4922

Call (951) 791-3350 Map

Fax (951) 791-3353

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC041400417 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1679961825

Daniel Carrillo, INTERN's National Provider Identifier is 1679961825, issued on Dec 22, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jacinto, CA. The record was last updated on Apr 16, 2024.