Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEADRA D. CARRILLO, M.A. LPC
Active Sole ProprietorDEADRA D. CARRILLO, M.A. LPC is a Mental Health Counselor healthcare provider located in BLOOMFIELD, New Mexico. NPI 1023154085 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BLOOMFIELD, NM
Registration Details
- NPI Number
- 1023154085
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2007 (19.357723023157 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0510 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
333 ROAD 4990BLOOMFIELD, NM, 874139626Browse NM providers · Browse ZIP 87413
- Phone
- 5056326713
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in BLOOMFIELD, NM
| Name | Credential | NPI |
|---|---|---|
| KRISTI CODDINGTON | LCSW | 1043865496 |
| ELIZABETH APPLEGATE | — | 1912658873 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.