JOSE LUIS CARRILLO

HAYWARD, CA
NPI1669213393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  15971)
Enumeration Date2024-06-05
Last Update Date2024-06-05
Business Address
JOSE LUIS CARRILLO SUDRC
2575 DEPOT RD
HAYWARD, CA 94545-2341
Phone number: 510-784-5874
Mailing Address
JOSE LUIS CARRILLO SUDRC
2575 DEPOT RD
HAYWARD, CA 94545-2341
Phone number: 510-784-5874
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