Lisa Carrillo's National Provider Identifier (NPI) Details
Lisa Carrillo, LMFT
NPI: 1588965347
Enumeration Date: 2010-11-10
Last updated: 2016-11-30
Sole Proprietor: YES
Status: active
Postal Address: 6820 INDIANA AVE STE 240, RIVERSIDE, CA
Phone: 951-777-8176
Primary Practice Address: 6820 INDIANA AVE STE 240, RIVERSIDE, CA
Practice's phone: 951-777-8176