Carrillo, Efrain De La Cerda
Carrillo, Efrain De La Cerda is an individual health care provider with primary practice located at 750 N Rosemont , Tucson AZ 85711. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Carrillo, Efrain De La Cerda can be contacted via phone (520) 481-3668.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | 11056 | Arizona |
Profile Details
| NPI number | 1023238102 |
|---|---|
| LBN Legal business name | Carrillo, Efrain De La Cerda |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023238102 | NPPES |
| Arizona | MEDICAID | 844341 |
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