Timothy Joseph Carrillo, RAS-C1106011523
Timothy Joseph Carrillo, RAS-C1106011523 is an Addiction (Substance Use Disorder) Counselor in Vista, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2012
Practice location Address checks out
504 W Vista WayVista, CA 92083-5704
Phone: (760) 940-1836
Fax: (760) 940-1274
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence C1106011523 (CA) |
|---|
Record details
| NPI number | 1134472897 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RAS-C1106011523 |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2012 |
| Last updated in NPPES | October 18, 2012 |
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