MRS. Gina Michelle Carrillo-Jackman, LCSW
NPI #1053018911 in Oak Park, California
Provider Information
- NPI Number
- 1053018911
- Entity Type
- Individual
- Name
- MRS. Gina Michelle Carrillo-Jackman, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Feb 10, 2023
- Last Updated
- Feb 10, 2023
Practice Location
- Address
- 6193 BARONS WAY
- City
- Oak Park
- State
- California
- ZIP Code
- 91377-5849
- Phone
- (818) 584-6395
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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