Individual provider · Type 1 NPI

Connie Carrillo

Addiction (Substance Use Disorder) Counselor · Hesperia, CA

NPI number 1720487424 Active

Practice location

11776 Mariposa Rd, 103
Hesperia, CA 92345-1622

Call (760) 956-2462 Map

Fax (760) 956-7542

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 1720487424

Connie Carrillo's National Provider Identifier is 1720487424, issued on Aug 19, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hesperia, CA. The record was last updated on Aug 19, 2014.