Search › California › 1041C0700X
Amanda Carrillo, LCSW
NPI 1477804227 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3621 W Ash Ave
Fullerton, CA 92833 - Phone
- (714) 872-0034
- Fax
- (213) 935-8728
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-29
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 California