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

Jose Luis Carrillo, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669213393

Jose Luis Carrillo, SUDRC is an Addiction (Substance Use Disorder) Counselor in Hayward, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

2575 Depot Rd
Hayward, CA 94545-2341
Phone: (510) 784-5874
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 15971 (CA)

Record details

NPI number1669213393
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC
Sole proprietorNo
NPI enumeratedJune 5, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

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