Individual
HECTOR RUBEN CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1805 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
(505) 842-9911
Mailing address
407 QUINCY ST NE, ALBUQUERQUE, NM 87108-1346
(505) 506-2077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2023-0122
NM
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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