MAYRA CARRILLO, LPC

Counselor - Professional

Active Individual
NPI: 1801151121

Practice Address

104 S.W. KINKADE RD.
Boardman, OR 97818

Phone: (541) 481-2911

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No -
Counselor - Professional 101YP2500X Yes C7959 (OR)

Frequently Asked Questions

NPI 1801151121 is the National Provider Identifier for MAYRA CARRILLO, LPC, a Counselor - Professional provider located in Boardman, OR. This NPI was enumerated on July 12, 2012.
MAYRA CARRILLO, LPC practices at 104 S.W. KINKADE RD., Boardman, OR 97818.

Quick Facts

NPI
1801151121
Type
Individual
Enumerated
Jul 12, 2012
Last Updated
Oct 7, 2024

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