Individual provider · Type 1 NPI

Tyrico Z. Trotty, SUDCC IV

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1083445845 Active

Practice location

3340 Kemper St Ste 105
San Diego, CA 92110-4907

Call (619) 674-3302 Map

Mailing address

570 Rancheros Dr Ste 200
San Marcos, CA 92069-2963

Other practice locations

  • 1750 5th Ave, San Diego, CA 92101-2754 · (619) 515-2588

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X5858 (CA)

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

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About NPI 1083445845

Tyrico Z. Trotty, SUDCC IV's National Provider Identifier is 1083445845, issued on Aug 12, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on May 6, 2026.