Individual
KRISTIN N CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
912 1ST ST NW, ALBUQUERQUE, NM 87102-2355
(505) 224-9777
Mailing address
912 1ST ST NW, ALBUQUERQUE, NM 87102-2355
(505) 224-9777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0184751
NM
101YM0800X
Mental Health Counselor
0184751
NM
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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