Individual
LUKE IGNACIO CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHR, LPC
Contact information
Practice address
421 E THOMAS AVE, STILLWATER, OK 74075-2600
(405) 372-2202
(405) 445-3780
Mailing address
421 E THOMAS AVE, STILLWATER, OK 74075-2600
(405) 372-2202
(405) 445-3780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6651
OK
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
07/27/2012
Last updated
04/09/2018
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