MR. Vincent R Carrillo III
NPI #1790545168 in Grandview, Washington
Provider Information
- NPI Number
- 1790545168
- Entity Type
- Individual
- Name
- MR. Vincent R Carrillo III
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Mar 21, 2024
- Last Updated
- Mar 21, 2024
Practice Location
- Address
- 211 EUCLID ST
- City
- Grandview
- State
- Washington
- ZIP Code
- 98930-1160
- Phone
- (509) 402-9090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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