CONNIE CARRILLO
NPI 1720487424
Counselor - Addiction (Substance Use Disorder) in Hesperia, CA
Active since August 19, 2014
11776 MARIPOSA RD, 103, HESPERIA, CA 92345(760) 956-2462(760) 956-7542 Get Directions Write a Review
About Connie Carrillo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNIE CARRILLO (NPI 1720487424) is an individual addiction (substance use disorder) provider in Hesperia, California and active in the NPI registry since August 2014.
NPPES Registry Identity
NPI1720487424
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCONNIE CARRILLO
Location Address11776 MARIPOSA RD, 103Hesperia, CA 92345-1622
Mailing Address11776 Mariposa Rd, 103Hesperia, CA 92345-1622 · (760) 956-2462 · Fax (760) 956-7542
Phone(760) 956-2462
Fax(760) 956-7542
Sole ProprietorYes
Enumeration DateAugust 19, 2014
✔ NPI 1720487424 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
11776 MARIPOSA RD, Hesperia, CA 92345
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Community Health)
11776 MARIPOSA RD, SUITE #103
HESPERIA, CA 92345
HESPERIA, CA 92345
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD, SUITE 103
HESPERIA, CA 92345
HESPERIA, CA 92345
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD, #103
HESPERIA, CA 92345
HESPERIA, CA 92345
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD
HESPERIA, CA 92345
HESPERIA, CA 92345
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD
HESPERIA, CA 92345
HESPERIA, CA 92345
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD, #103
HESPERIA, CA 92345
HESPERIA, CA 92345
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720487424, enumerated as an "individual" on August 19, 2014.
The provider is located at 11776 MARIPOSA RD 103 HESPERIA, CA 92345 and the phone number is (760) 956-2462.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).