Individual
ANGELINA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10981 SAN DIEGO MISSION RD STE 110, SAN DIEGO, CA 92108-2448
(619) 889-8160
(619) 521-0867
Mailing address
10981 SAN DIEGO MISSION RD STE 110, SAN DIEGO, CA 92108-2448
(619) 889-8160
(619) 521-0867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
02/27/2023
Last updated
03/23/2026
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