Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTIOCO CARRILLO
ActiveANTIOCO CARRILLO is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LAS VEGAS, Nevada. NPI 1679855365 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LAS VEGAS, NV
Registration Details
- NPI Number
- 1679855365
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2011 (14.945888332205 yrs)
- Last Updated
- Sep 19, 2011
- License
-
LADC 011645 (NV)
Practice Information
- Address
-
714 E SAHARA AVELAS VEGAS, NV, 891042942Browse NV providers · Browse ZIP 89104
- Phone
- 7023698700
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| DR. KIM MARIE GRUM | LSUDC, CAADC, CRS | 1649271933 |
| MS. OMEGA JODEAN GALLIANO | M.S. | 1780665687 |
| DEBORA TRETIAK | M.S. | 1235177551 |
| MS. CHERYL CORNELIUS | MET | 1194755835 |
| FRANK KARR | LADC | 1093734824 |
| JANE MARIE SCHMIDT | L.A.D.C. | 1952312613 |
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.