Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jazmin Carrillo, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679373781

Jazmin Carrillo, SUDRC is an Addiction (Substance Use Disorder) Counselor in Hayward, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1580 Chabot Ct
Hayward, CA 94545-2423
Phone: (510) 783-8708
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20960 (CA)

Record details

NPI number1679373781
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC
Sole proprietorYes
NPI enumeratedMarch 17, 2025
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address25928 Eldridge Ave, Hayward, CA 94544-2650

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