| NPI | 1124905302 |
|---|---|
| Professional Name | JAIME ENRIQUE CARRILLO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1625610725) |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-22 |