Carrillo, Justine

Carrillo, Justine is an individual health care provider with primary practice located at 25910 Acero Ste 160 , Mission Viejo CA 92691-2777. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Carrillo, Justine can be contacted via phone (909) 973-4740.

Contact Information

Primary practice address
25910 Acero Ste 160 Mission Viejo CA 92691-2777
Phone: (909) 973-4740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 94835 California

Profile Details

NPI number 1073947149
LBN Legal business name Carrillo, Justine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2013
Last updated Jul 25th, 2022 - about 4 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.

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