| Doctor Name: | JUAN CERRILLO |
| NPI Number: | 1902089980 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | RC00055523 |
| Business Practice Address: | 2500 E College Way Mount Vernon, WA - 982735862 |
| Business Phone Number: | 3604288912 |
| Business Fax Number: | 3604246288 |
| Mailing Address: | Po Box 34703, SEATTLE |
| State: | WA |
| Postal Code: | 981241703 |
| Phone Number: | 2067643335 |
| Fax Number: | 2067640489 |
| NPI Enumeration Date: | 12/12/2007 |
| NPI Last Update Date: | 12/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | RC00055523 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |