Deadra D. Carrillo, M.A. LPC
NPI #1023154085 in Bloomfield, New Mexico
Provider Information
- NPI Number
- 1023154085
- Entity Type
- Individual
- Name
- Deadra D. Carrillo, M.A. LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- M.A. LPC
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 333 ROAD 4990
- City
- Bloomfield
- State
- New Mexico
- ZIP Code
- 87413-9626
- Phone
- (505) 632-6713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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