JOSE A CARRILLO

KENNEWICK, WA
NPI1578922274
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60417256)
Enumeration Date2016-02-23
Last Update Date2018-08-01
Business Address
Mr. JOSE A CARRILLO CDP
8514 W GAGE BLVD STE G
KENNEWICK, WA 99336
Phone number: 509-440-3387
Mailing Address
Mr. JOSE A CARRILLO CDP
8514 W GAGE BLVD STE G
KENNEWICK, WA 99336-8108
Phone number: 509-440-3387
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