JASON AH-SOM CARRILLO

ANCHORAGE, AK
NPI1275192577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-06-10
Last Update Date2019-06-10
Business Address
JASON AH-SOM CARRILLO
4020 FOLKER ST
ANCHORAGE, AK 99508-5321
Phone number: 907-563-1000
Mailing Address
JASON AH-SOM CARRILLO
4020 FOLKER ST
ANCHORAGE, AK 99508-5321
Phone number: