person
Deadra D. Carrillo, MALPC
Mental Health Counselor in Bloomfield, New Mexico
NPI 1023154085

Deadra D. Carrillo is a Mental Health Counselor based in Bloomfield, NM and is specialized in Mental Health. Deadra D. Carrillo practices in Bloomfield, NM and has the professional credentials of MALPC. The NPI Number for Deadra D. Carrillo is 1023154085 and holds a License No. 0510 (New Mexico).

The current practice location address for Deadra D. Carrillo is 333 Road 4990, Bloomfield, NM and can be reached out via phone at 505-632-6713.

Location: 333 Road 4990, Bloomfield, NM, 87413-9626
person
Provider Profile Details
NPI Number
1023154085
Provider Name
Deadra D. Carrillo
Credential
MALPC
Provider Entity Type
Individual
Gender
Female
Address
333 Road 4990, Bloomfield, NM, 87413-9626
Phone Number
505-632-6713
Fax Number
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
333 Road 4990
City
State
Zip
87413-9626
Phone Number
505-632-6713
Fax Number
person
Provider Business Mailing Address Details
Address
333 Road 4990
City
State
Zip
87413-9626
Phone Number
505-632-6713
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0510 (New Mexico)
Definition
Definition to come...
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