SearchIdaho1041C0700X

Alicia Carrillo, LCSW

NPI 1841901303 · on the registry since 2022

Practice

Address
265 E Chubbuck Rd
Chubbuck, ID 83202
Phone
(208) 237-1711
Fax
(208) 237-9806
Organisation at this address
Custom Rehab Llc
Center Counseling
Center Counseling, Llc
Center Counseling, Llc
Center Counseling, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
63

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-23

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 Idaho