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Mariela Carrillo

Counselor in Pendleton, OR. Individual provider (NPI-1).

NPI number1982161089
StatusActive
Last updated in NPPESFeb 25, 2019

Details

NPI
1982161089
Entity type
Individual (NPI-1)
Name
Mariela Carrillo
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 25, 2019
Last updated
Feb 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

17 Sw Frazer Ave Ste 282
Pendleton, OR 97801-0048

Phone 541-278-6330 · Fax 541-278-5419

Mailing address

17 Sw Frazer Ave Ste 282
Pendleton, OR 97801-0048

Phone 541-278-6330

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