AMANDA LEE CARRILLO

FULLERTON, CA
NPI1477804227
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW82461)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  ASW36736)
Enumeration Date2012-09-19
Last Update Date2019-11-29
Business Address
AMANDA LEE CARRILLO LCSW
3621 W ASH AVE
FULLERTON, CA 92833-3107
Phone number: 714-872-0034
Mailing Address
AMANDA LEE CARRILLO LCSW
3621 W ASH AVE
FULLERTON, CA 92833-3107
Phone number: 714-872-0034