Individual
CARLEEN FAITH LILLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5871 PINE AVE STE 230, CHINO HILLS, CA 91709-6545
(909) 597-2226
Mailing address
5871 PINE AVE STE 230, CHINO HILLS, CA 91709-6545
(909) 597-2226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8382
CA
101YM0800X
Mental Health Counselor
P0807057
AR
101YP2500X
Professional Counselor
P0807057
AR
Other
Enumeration date
06/29/2006
Last updated
04/02/2021
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