Individual
PATRICK B CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY00003683
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356375794
—
WA
Enumeration date
07/10/2006
Last updated
06/14/2022
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