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MS. CHRISTINA REYNA CARRILLO LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1972849412

Individual Registrant:
MS. CHRISTINA REYNA CARRILLO LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
220 6TH ST.  FOWLER, CA 93625 US
Tel: 559-313-8782  Fax: --

Contact information for business:
220 S 6TH ST  FOWLER, CA 93625-2440 US
Tel: 559-313-8782  Fax: --

Registration Information:
NPI: 1972849412
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CALCS13434

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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