Individual provider · Type 1 NPI

Jose Luis Carrillo, SUDRC

Addiction (Substance Use Disorder) Counselor · Hayward, CA

NPI number 1669213393 Active

Practice location

2575 Depot Rd
Hayward, CA 94545-2341

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15971 (CA)

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

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About NPI 1669213393

Jose Luis Carrillo, SUDRC's National Provider Identifier is 1669213393, issued on Jun 5, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hayward, CA. The record was last updated on Jun 5, 2024.