Individual
MICHAEL ANTHONY CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2035 E BALL RD STE 200, ANAHEIM, CA 92806-5157
(714) 517-6300
Mailing address
2035 E BALL RD STE 200, ANAHEIM, CA 92806-5157
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10044
CA
Other
Enumeration date
07/13/2021
Last updated
03/14/2023
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