Jt Carrillo, LISW Valid NPI

Individual provider · Clinical Social Worker · Albuquerque, NM

NPI

1336173301

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

I-04891 (NM)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-10

Last updated

2007-07-08