Individual
ERICKA GONZALEZ CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1985 MAIN ST STE E, SPRINGFIELD, MA 01103-1016
(413) 361-4587
(413) 788-0626
Mailing address
1985 MAIN ST STE E, SPRINGFIELD, MA 01103-1016
(413) 361-4587
(413) 788-0626
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18240
MA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/21/2015
Last updated
09/25/2023
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