Individual
CHRISTINE CLARE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1520 E PIMA ST, PHOENIX, AZ 85034-4639
(480) 831-4566
Mailing address
1520 E PIMA ST, PHOENIX, AZ 85034-4639
(480) 831-4566
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-21582
AZ
Other
Enumeration date
08/18/2014
Last updated
04/29/2025
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