Individual
ADRIANA CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12274 BANDERA RD STE 101, HELOTES, TX 78023-4386
(210) 396-7609
(210) 564-7017
Mailing address
12274 BANDERA RD STE 101, HELOTES, TX 78023-4386
(210) 396-7609
(210) 564-9017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
79031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79031
LPC
TX
Enumeration date
10/22/2019
Last updated
10/22/2019
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