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Individual

CHRISTIAN CARRILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
07786-C

Contact information

Practice address
1536 N BOULDER HWY # 89011, HENDERSON, NV 89011-4120
(725) 696-9673
(702) 558-8700
Mailing address
1536 N BOULDER HWY # 89011, HENDERSON, NV 89011-4120
(725) 696-9673
(702) 558-8700

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
07786-C
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
05/10/2019
Last updated
08/02/2024
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