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Elicia Azalia Carrillo
Marriage & Family Therapist in Fresno, California
NPI 1730792532

Elicia Azalia Carrillo is a Marriage & Family Therapist based in Fresno, CA. Elicia Azalia Carrillo practices in Fresno, CA. The NPI Number for Elicia Azalia Carrillo is 1730792532 and holds a License No. (California).

The current practice location address for Elicia Azalia Carrillo is 2560 W Shaw Ln Ste 104, Fresno, CA and can be reached out via phone at 559-443-4800.

Location: 2560 W Shaw Ln Ste 104, Fresno, CA, 93711-2777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730792532
Provider Name
Elicia Azalia Carrillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
2560 W Shaw Ln Ste 104, Fresno, CA, 93711-2777
Phone Number
559-443-4800
Fax Number
Provider Enumeration Date
08/31/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2560 W Shaw Ln Ste 104
City
Fresno
State
California
Zip
93711-2777
Phone Number
559-443-4800
Fax Number
person
Provider Business Mailing Address Details
Address
2560 W Shaw Ln Ste 104
City
Fresno
State
California
Zip
93711-2777
Phone Number
559-443-4800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
129602 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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