Individual
CARLOS M CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2356 MEADOWVALE AVE, LOS ANGELES, CA 90031-1111
(323) 599-1608
Mailing address
2356 MEADOWVALE AVE, LOS ANGELES, CA 90031-1111
(323) 599-1608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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