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

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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
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
Counselor (Mental Health)
11776 MARIPOSA RD
HESPERIA, CA 92345
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD, SUITE 103
HESPERIA, CA 92345
Clinic/Center (Methadone)
11776 MARIPOSA RD, # 103
HESPERIA, CA 92345
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD, #103
HESPERIA, CA 92345
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD
HESPERIA, CA 92345
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD
HESPERIA, CA 92345
Counselor (Addiction (Substance Use Disorder))
11776 MARIPOSA RD, #103
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).