Individual
JUAN CARLOS GUZMAN CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
516 E 1ST ST, ABERDEEN, WA 98520-4106
(360) 712-3591
Mailing address
516 E 1ST ST, ABERDEEN, WA 98520-4106
(360) 712-3591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61631677
WA
Other
Enumeration date
01/13/2025
Last updated
01/22/2025
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