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Individual
CARLOS ENRIQUE RIOLLANO BAYOUTH
Active
Individual
CARLOS ENRIQUE RIOLLANO BAYOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005675
CT
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
12/04/2020
Last updated
10/11/2024
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