person
Timothy Joseph Carrillo, RAS-C1106011523
Addiction (Substance Use Disorder) Counselor in Vista, California
NPI 1134472897

Timothy Joseph Carrillo is an Addiction (Substance Use Disorder) Counselor based in Vista, CA and is specialized in Addiction (Substance Use Disorder). Timothy Joseph Carrillo practices in Vista, CA and has the professional credentials of RAS-C1106011523. The NPI Number for Timothy Joseph Carrillo is 1134472897 and holds a License No. C1106011523 (California).

The current practice location address for Timothy Joseph Carrillo is 504 W Vista Way, Vista, CA and can be reached out via phone at 760-940-1836 and via fax at 760-940-1274.

Location: 504 W Vista Way, Vista, CA, 92083-5704
person
Provider Profile Details
NPI Number
1134472897
Provider Name
Timothy Joseph Carrillo
Credential
RAS-C1106011523
Provider Entity Type
Individual
Gender
Male
Address
504 W Vista Way, Vista, CA, 92083-5704
Phone Number
760-940-1836
Fax Number
760-940-1274
Provider Enumeration Date
10/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
504 W Vista Way
City
State
Zip
92083-5704
Phone Number
760-940-1836
Fax Number
760-940-1274
person
Provider Business Mailing Address Details
Address
504 W Vista Way
City
State
Zip
92083-5704
Phone Number
760-940-1836
Fax Number
760-940-1274
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C1106011523 (California)
Definition
Definition to come...
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