Luke Ignacio Carrillo
Rehabilitation Counselor Mental Health Counselor
421 E Thomas Ave
Stillwater
, Oklahoma 74075-2600
Luke Ignacio Carrillo
Rehabilitation Counselor Mental Health Counselor
421 E Thomas Ave
Stillwater
, Oklahoma 74075-2600
(405) 445-3780
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About
Features
Specialties
- Mental Health Counselor
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Luke Ignacio Carrillo
- 421 E Thomas Ave
- Stillwater, OK
- Zip : 74075-2600
- Fax : (405) 445-3780
- Phone : (405) 372-2202
Second Address
- Luke Ignacio Carrillo
- 421 E Thomas Ave
- Stillwater, OK
- Zip : 74075-2600
- Fax : (405) 445-3780
- Phone : (405) 372-2202
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | 6651 | OK |
| N | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1134475197 |
|---|---|
| Provider Name | Luke Ignacio Carrillo |
| First Address | Stillwater, OK 74075-2600 |
| Second Address | Stillwater, OK 74075-2600 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2012 |
| Last Update Date | 09/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.