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

Primary practice address
750 N Rosemont Tucson AZ 85711
Phone: (520) 481-3668
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #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 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023238102 NPPES
Arizona MEDICAID 844341

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