DEADRA D. CARRILLO

BLOOMFIELD, NM
NPI1023154085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0510)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
-- DEADRA D. CARRILLO M.A. LPC
333 ROAD 4990
BLOOMFIELD, NM 87413-9626
Phone number: 505-632-6713
Mailing Address
-- DEADRA D. CARRILLO M.A. LPC
333 ROAD 4990
BLOOMFIELD, NM 87413-9626
Phone number: 505-632-6713
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