Carrillo, Patrick B

Carrillo, Patrick B is an individual health care provider with primary practice located at 820 N Chelan Ave , Wenatchee WA 98801-2028. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Carrillo, Patrick B can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
820 N Chelan Ave Wenatchee WA 98801-2028
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PY00003683 Washington

Profile Details

NPI number 1356375794
LBN Legal business name Carrillo, Patrick B
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jun 14th, 2022 - about 2 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 1356375794 NPPES
Washington MEDICAID 1356375794

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