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Michael Anthony Carrillo
Professional Counselor in Anaheim, California
NPI 1730751389

Michael Anthony Carrillo is a Professional Counselor based in Anaheim, CA and is specialized in Professional. Michael Anthony Carrillo practices in Anaheim, CA. The NPI Number for Michael Anthony Carrillo is 1730751389 and holds a License No. 10044 (California).

The current practice location address for Michael Anthony Carrillo is 2035 E Ball Rd Ste 200, Anaheim, CA and can be reached out via phone at 714-517-6300.

Location: 2035 E Ball Rd Ste 200, Anaheim, CA, 92806-5157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730751389
Provider Name
Michael Anthony Carrillo
Credential
Provider Entity Type
Individual
Gender
Male
Address
2035 E Ball Rd Ste 200, Anaheim, CA, 92806-5157
Phone Number
714-517-6300
Fax Number
Provider Enumeration Date
07/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2035 E Ball Rd Ste 200
City
Anaheim
State
California
Zip
92806-5157
Phone Number
714-517-6300
Fax Number
person
Provider Business Mailing Address Details
Address
2035 E Ball Rd Ste 200
City
Anaheim
State
California
Zip
92806-5157
Phone Number
714-517-6300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
10044 (California)
Definition
Definition to come...
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