Individual
MR. VINCENT R CARRILLO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 EUCLID ST, GRANDVIEW, WA 98930-1160
(509) 402-9090
Mailing address
303 LOCUST AVE, YAKIMA, WA 98901-9748
(509) 731-5851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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