Provider Demographics
NPI:1689559460
Name:GIRILLO, JOSEPH (LMFT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:GIRILLO
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:GIRILLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7671 MCGROARTY ST
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2609
Mailing Address - Country:US
Mailing Address - Phone:951-206-1548
Mailing Address - Fax:
Practice Address - Street 1:7671 MCGROARTY ST
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2609
Practice Address - Country:US
Practice Address - Phone:951-206-1548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-09
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT85895106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist