Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christian Carrillo, 07786-C

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1578129060

Christian Carrillo, 07786-C is an Addiction (Substance Use Disorder) Counselor in Henderson, Nevada. Licensed in Nevada. Registered with an NPI since 2019.

Licensed in
NV
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1536 N Boulder Hwy # 89011
Henderson, NV 89011-4120
Phone: (725) 696-9673
Fax: (702) 558-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 07786-C (NV)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1578129060
Entity typeIndividual (Type 1)
GenderMale
Credentials 07786-C
Sole proprietorNo
NPI enumeratedMay 10, 2019
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024

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