Mariela Carrillo

NPI #1982161089 in Pendleton, Oregon

Provider Information

NPI Number: 1982161089
Entity Type: Individual
Name: Mariela Carrillo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Feb 25, 2019
Last Updated: Feb 25, 2019

Practice Location

Address: 17 SW FRAZER AVE STE 282
City: Pendleton
State: Oregon
ZIP Code: 97801-0048
Phone: (541) 278-6330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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