MR. JOSE A CARRILLO


Address: 8514 W Gage Blvd Ste G, Kennewick, WA 99336
Phone: 5094403387

MR. JOSE A CARRILLO (NPI# 1578922274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578922274
Entity Type Individual
Full Name MR. JOSE A CARRILLO
Credential CDP
Practice Address 8514 W Gage Blvd Ste G
Kennewick
WA 99336
Mailing Address 8514 W Gage Blvd Ste G
Kennewick
WA 99336-8108
Practice Telephone 5094403387
Practice Fax Number 5094913031
Mailing Telephone 5094403387
Mailing Fax Number 5094913031
Enumeration Date 2016-02-23
Last Update Date 2018-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CP60417256 WA Behavioral Health & Social Service Providers

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Office Location

Street Address 8514 W GAGE BLVD STE G
City KENNEWICK
State WA
Zip Code 99336

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417179243 Penny S Bell Counselor 8514 W Gage Blvd Ste G, Kennewick, WA 99336 2007-05-02
1053947507 Lisa Gail Dixon Counselor 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 2020-03-17
1912532557 Kathryne Shevie Keel Peer Specialist 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 2020-03-04
1073145603 Rebeca Galvez Peer Specialist 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 2020-02-11
1639730559 Viktoriya Robertovna Broyan Counselor 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 2019-06-21
1922588094 Nathan Victor Davis Counselor 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 2018-08-17
1285148684 Ideal Telemedicine Services, LLC Clinic/Center 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 2017-11-21
1316306012 Nakia Becerra Counselor 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 2016-02-23
1427470434 Sarah Ean Saenz Counselor 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 2014-01-09
1013343474 Ideal Balance Pllc Case Management 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 2013-09-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497393888 Kelsie D Parvinen Massage Therapist 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 2019-12-16
1508403858 New U Women's Clinic & Aesthetics Pllc Nurse Practitioner 35 S Louisiana St, Suite A120, Kennewick, WA 99336 2019-12-05
1457901944 Solar Mobility LLC Durable Medical Equipment & Medical Supplies 949 S Keller St, Kennewick, WA 99336 2019-09-17
1023662590 Shane Arthur Gulley Counselor 500 N. Morain St Suite 1250, Kennewick, WA 99336 2019-08-01
1063973873 Farah Saleem Student in an Organized Health Care Education/Training Program 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 2019-03-26
1255897690 Thomas Stanley Mcgowan Student in an Organized Health Care Education/Training Program Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 2019-02-11
1770068280 Remedy Urgent Mobile Medicine Pllc Nurse Practitioner 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 2018-10-01
1740767011 Zachary Wilber Fournier Specialist/Technologist Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 2018-07-19
1649780693 Alan Arnold Hanson Chiropractor 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 2017-10-04
1922528827 Sarah Nicole Childress Counselor 415 North Morain St, Kennewick, WA 99336 2017-06-21
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699321745 Steve R Ouradnik Counselor 3703 W Kennewick Ave Apt D326, Kennewick, WA 99336-2883 2019-08-14
1922528827 Sarah Nicole Childress Counselor 415 North Morain St, Kennewick, WA 99336 2017-06-21
1659732477 Jennifer Heston Counselor 1914 W 2nd Ave, Kennewick, WA 99336-3248 2016-03-08
1134599384 Pattrisha Pesina Counselor 7510 W Deschutes Pl, Kennewick, WA 99336 2015-09-30
1902286834 Minghua Zhu Counselor 274 N Hawaii St, Kennewick, WA 99336-1682 2015-06-05
1780011627 Monica Lynn Ottum Counselor 415 N. Morain Street, Kennewick, WA 99336 2013-10-10
1053646026 Valerie Joanne Engel Counselor 200 S Union St Apt 2b, Kennewick, WA 99336-2275 2009-10-08
1821273202 Clifton Watson Jr. Counselor 303 1/2 W Kennewick Ave # Wa, Kennewick, WA 99336-3858 2008-01-04
1972700102 Deana Rae Mcglothlin Counselor 1614 S Fruitland St, Kennewick, WA 99337-4841 2007-06-29
1518162411 Sari Elaine Anderson Counselor 5504 W Metaline Ave, Kennewick, WA 99336-1419 2007-06-19
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Competitor

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City KENNEWICK
Zip Code 99336

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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