Individual provider · Type 1 NPI

Jazmin Carrillo, SUDRC

Addiction (Substance Use Disorder) Counselor · Hayward, CA

NPI number 1679373781 Active

Practice location

1580 Chabot Ct
Hayward, CA 94545-2423

Call (510) 783-8708 Map

Mailing address

25928 Eldridge Ave
Hayward, CA 94544-2650

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20960 (CA)

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

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About NPI 1679373781

Jazmin Carrillo, SUDRC's National Provider Identifier is 1679373781, issued on Mar 17, 2025. 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 Mar 17, 2025.