Individual
DESIREE D CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC-I
Contact information
Practice address
2780 S JONES BLVD STE 100A, LAS VEGAS, NV 89146-5625
(702) 820-3061
(702) 935-0008
Mailing address
2780 S JONES BLVD STE 100A, LAS VEGAS, NV 89146-5625
(702) 820-3061
(702) 935-0008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02133-I
NV
101YP2500X
Professional Counselor
Primary
C1720
NV
Other
Enumeration date
01/06/2018
Last updated
04/19/2023
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