JAZMIN CARRILLO SUDRC
NPI 1679373781
Counselor - Addiction (Substance Use Disorder) in Hayward, CA
Active since March 17, 2025
About Jazmin Carrillo Sudrc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAZMIN CARRILLO SUDRC (NPI 1679373781) is an individual addiction (substance use disorder) provider in Hayward, California, licensed in California (20960) and active in the NPI registry since March 2025.
NPPES Registry Identity
NPI1679373781
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJAZMIN CARRILLOCredential: SUDRC
Location Address1580 CHABOT CTHayward, CA 94545-2423
Mailing Address25928 Eldridge AveHayward, CA 94544-2650 · (510) 342-6858
Phone(510) 783-8708
Sole ProprietorYes
Enumeration DateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
✔ NPI 1679373781 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 20960
1580 CHABOT CT, Hayward, CA 94545
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679373781, enumerated as an "individual" on March 17, 2025.
The provider is located at 1580 CHABOT CT HAYWARD, CA 94545 and the phone number is (510) 783-8708.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
