Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clarissa Shadae Carrillo

Individual provider Counselor · NPI 1780240119

Clarissa Shadae Carrillo is a Counselor in Sacramento, California. Practices as a sole proprietor. Registered with an NPI since 2019.

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

2829 Watt Ave
Sacramento, CA 95821-6200
Phone: (916) 531-0143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Counselor Taxonomy 101Y00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1780240119
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 10, 2019
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025

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