Individual
ANGIE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1188 N EUCLID ST STE 500, ANAHEIM, CA 92801-1900
(715) 640-6480
Mailing address
13210 HARBOR BLVD, GARDEN GROVE, CA 92843-1737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
82037
CA
Other
Enumeration date
08/17/2011
Last updated
11/12/2024
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