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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134718919

Kirsten Nicole Carrillo, SUD is an Addiction (Substance Use Disorder) Counselor in Woodland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

215 W Beamer St
Woodland, CA 95695-2510
Phone: (530) 405-2815
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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 AII050060623 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 12064 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1134718919
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUD
Sole proprietorYes
NPI enumeratedJanuary 15, 2021
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

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