Individual
MRS. MYLDA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
11011 S 48TH ST STE 101, PHOENIX, AZ 85044-1787
(480) 331-3606
Mailing address
2850 N 24TH ST, PHOENIX, AZ 85008-1004
(602) 200-0434
(602) 200-0445
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-11650
AZ
Other
Enumeration date
01/25/2017
Last updated
04/21/2023
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