Individual
JUAN ENRIQUE CERRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
1010 E COLLEGE WAY, MOUNT VERNON, WA 98273-5624
(360) 542-8920
(360) 542-8930
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00055523
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60142281
WA
Other
Enumeration date
12/12/2007
Last updated
03/07/2025
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