VINCENT R CARRILLO

GRANDVIEW, WA
NPI1790545168
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-03-21
Last Update Date2024-03-21
Business Address
Mr. VINCENT R CARRILLO
211 EUCLID ST
GRANDVIEW, WA 98930-1160
Phone number: 509-402-9090
Mailing Address
Mr. VINCENT R CARRILLO
303 LOCUST AVE
YAKIMA, WA 98901-9748
Phone number: 509-731-5851
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