SearchNew Mexico101YM0800X

Deadra Carrillo, M.A. LPC

NPI 1023154085 · on the registry since 2007 · sole proprietor

Practice

Address
333 Road 4990
Bloomfield, NM 87413
Phone
(505) 632-6713

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico