JUAN CARRILLO

MADERA, CA
NPI1053528182
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  CO412130904)
Enumeration Date2007-05-17
Last Update Date2008-02-19
Business Address
-- JUAN CARRILLO
1200 MAPLE ST STE 108
MADERA, CA 93637-6330
Phone number: 559-661-5194
Mailing Address
-- JUAN CARRILLO
1200 MAPLE ST STE 108
MADERA, CA 93637-6330
Phone number: 559-661-5194
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