Individual
DEYADIRA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20576 COASTAL HWY, REHOBOTH BEACH, DE 19971-8062
(302) 227-1320
(302) 227-1327
Mailing address
112 FISHER AVE, MILFORD, DE 19963-1542
(302) 943-8774
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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