Deadra D Carrillo, MA LPC - Counselor in Bloomfield, NM

Deadra D Carrillo, MA LPC is a Counselor - Mental Health based in Bloomfield, New Mexico. Deadra D Carrillo is licensed to practice in New Mexico (license number 0510) and her current practice location is 333 Road 4990, Bloomfield, New Mexico. She can be reached at her office (for appointments etc.) via phone at (505) 632-6713.

NPI number for Deadra D Carrillo is 1023154085 and her current mailing address is 333 Road 4990, Bloomfield, New Mexico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023154085.

Contact Information

Deadra D Carrillo, MA LPC
333 Road 4990,
Bloomfield, NM 87413-9626
(505) 632-6713
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDeadra D Carrillo
GenderFemale
SpecialityCounselor - Mental Health
Location333 Road 4990, Bloomfield, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023154085
  • Provider Enumeration Date: 01/29/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Deadra D Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023154085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 0510 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deadra D Carrillo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Deadra D Carrillo, MA LPC
333 Road 4990,
Bloomfield, NM 87413-9626

Ph: (505) 632-6713
Deadra D Carrillo, MA LPC
333 Road 4990,
Bloomfield, NM 87413-9626

Ph: (505) 632-6713

Reviews and Comments


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Practice Location: 101 E Broadway Ave, Bloomfield, NM 87413
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