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

Nancy Carrillo

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205611142

Nancy Carrillo is an Addiction (Substance Use Disorder) Counselor in Azusa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

23701 E East Fork Rd
Azusa, CA 91702-1477
Phone: (626) 910-1202
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1205611142
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 29, 2023
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address23701 E East Fork Rd, Azusa, CA 91702-1477

Other providers in Azusa