Individual provider · Type 1 NPI

Jasmine Chagolla, RADT

Addiction (Substance Use Disorder) Counselor · Trabuco Canyon, CA

NPI number 1255027751 Active

Practice location

20302 Flanagan Road
Trabuco Canyon, CA 92679

Call (818) 582-8836 Map

Fax (818) 582-8836

Mailing address

14530 Sylvan St
Van Nuys, CA 91411-2324

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1511080623 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1255027751

Jasmine Chagolla, RADT's National Provider Identifier is 1255027751, issued on Apr 17, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Trabuco Canyon, CA. The record was last updated on Mar 31, 2026.