Mario Carrillo, LPC

NPI 1407511314 · on the registry since 2021

Practice

Address: 1925 Mountain View Ave
Longmont, CO 80501
Phone: (720) 494-3121
Fax: (720) 494-3108
Organisation at this address: Longmont Clinic Lab
Poudre Valley Medical Group, Llc
University Physicians Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 92

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-11-04

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 Colorado