Individual
MARIA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1885 LUNDY AVE STE 223, SAN JOSE, CA 95131-1888
(408) 284-9000
Mailing address
1885 LUNDY AVE STE 223, SAN JOSE, CA 95131-1888
(408) 284-9000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
MPSS-OHXDRZ
CA
Other
Enumeration date
01/08/2014
Last updated
10/02/2023
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