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

Jaime Enrique Carrillo Morales, RADTR1625610725

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124905302

Jaime Enrique Carrillo Morales, RADTR1625610725 is an Addiction (Substance Use Disorder) Counselor in Anaheim, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

601 S Harbor Blvd
Anaheim, CA 92805-4521
Phone: (714) 908-0028
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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 · Licence R1625610725 (CA)

Record details

NPI number1124905302
Entity typeIndividual (Type 1)
GenderMale
Credentials RADTR1625610725
Sole proprietorYes
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

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