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Tina-marie Carrillo
Counselor in Centralia, Washington
NPI 1154919611

Tina-marie Carrillo is a Counselor based in Longview, WA. Tina-marie Carrillo practices in Centralia, WA. The NPI Number for Tina-marie Carrillo is 1154919611 and holds a License No. CG61340293 (Washington).

The current practice location address for Tina-marie Carrillo is 3510 Steelhammer Dr, Centralia, WA and can be reached out via phone at 360-623-8020 and via fax at 360-623-1072.

Location: 3510 Steelhammer Dr, Centralia, WA, 98632-2761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154919611
Provider Name
Tina-marie Carrillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
3510 Steelhammer Dr, Centralia, WA, 98632-2761
Phone Number
360-623-8020
Fax Number
360-623-1072
Provider Enumeration Date
01/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3510 Steelhammer Dr
City
Centralia
State
Washington
Zip
98531-4551
Phone Number
360-623-8020
Fax Number
360-623-1072
person
Provider Business Mailing Address Details
Address
3510 Steelhammer Dr
City
Centralia
State
Washington
Zip
98531-4551
Phone Number
360-623-8020
Fax Number
360-623-1072
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG61340293 ()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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