Individual ProviderRubi CarrilloCounselorBehavioral Health & Social Service ProvidersPractice Address1201 N El Dorado St, Stockton, CA 95202-1306(209) 468-3760(209) 663-2154PECOS EnrollmentBased on the most recent information from CMS, provider Rubi Carrillo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1073954087Provider TypeIndividualFull NameCarrillo, RubiTitleMissGenderFemaleSole ProprietorNoEnumeration Date7/8/2013Last Updated7/8/2013Contact InformationPractice LocationPractice Address1201 N El Dorado St, Stockton, CA 95202-1306Phone(209) 468-3760FaxUnlisted FaxMailing LocationMailing Address328 Poplar St, Lodi, CA 95240-5932Phone(209) 663-2154FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer