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Jose Eduardo Carrillo, M.A., QMHP

Counselor, Mental Health in McMinnville, OR. Individual provider (NPI-1).

NPI number1669990503
StatusActive
Last updated in NPPESAug 30, 2017

Details

NPI
1669990503
Entity type
Individual (NPI-1)
Name
Mr. Jose Eduardo Carrillo
Credential
M.A., QMHP
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 30, 2017
Last updated
Aug 30, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

420 Ne 5th St
McMinnville, OR 97128-4603

Phone 503-434-7462

Mailing address

2550 Carson Loop
Forest Grove, OR 97116-1632

Phone 408-206-9385

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