Meredith Kathleen Carrillo, M.S., LMFT
Individual provider Active NPI Marriage & Family Therapist · Dana Point, CA
NPI 1659526796 · NPPES record last updated Nov 17, 2008
Key facts
- NPI
- 1659526796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC42893 (CA)
- Practice address
- 24701 La PLZ Ste 103
Dana Point, CA 92629-2584 - Phone
- (949) 290-7798
- NPI assigned
- Nov 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC42893 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC42893 | CA | Yes |
Addresses
Primary practice location
24701 La PLZ Ste 103
Dana Point, CA 92629-2584
Mailing address
32 Paseo Rosa
San Clemente, CA 92673-6506
Phone (949) 290-7798
Other providers in Dana Point, CA
- Miriam Leah Bustamante
- Elian Cabrera-Nguyen
- Tyler Cannella
- Chelsea Caraway
- Dennise Carbajal
- Ann Marie Casazza
- Louise Casey
- Mary Castillo
- Katelyn Cecil
- Tiffany Chavez
All providers in Dana Point, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.