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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730792532

Elicia Azalia Carrillo is a Student in an Organized Health Care Education/Training Program in Fresno, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

2560 W Shaw Ln Ste 104
Fresno, CA 93711-2777
Phone: (559) 443-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4939 E Yale Ave, Fresno, CA 93727-1523 — (559) 443-4800
  • 2020 High St Ste E, Selma, CA 93662-3518 — (559) 443-4800

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 151002
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Marriage & Family Therapist Taxonomy 106H00000X · Licence 129602 (CA)

Record details

NPI number1730792532
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2020
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

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