Individual
MR. JUAN RAMON CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, M.A.
Contact information
Practice address
405 N 8TH ST, ALPINE, TX 79830-4505
(432) 386-7191
Mailing address
405 N 8TH ST, ALPINE, TX 79830-4505
(432) 386-7191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
78007
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
12121
TX
101YP2500X
Professional Counselor
78007
TX
Other
Enumeration date
12/27/2021
Last updated
06/02/2023
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