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

Lisa Marie Carrillo, CERTIFIEDPFA

Individual provider Peer Specialist · NPI 1023848504

Lisa Marie Carrillo, CERTIFIEDPFA is a Peer Specialist in Apple Valley, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

18818 US Highway 18
Apple Valley, CA 92307-2323
Phone: (760) 995-8891
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X · Licence MPSSVGHYZX (CA)
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1023848504
Entity typeIndividual (Type 1)
GenderFemale
Credentials CERTIFIEDPFA
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

Other providers in Apple Valley