Individual provider · Type 1 NPI
Trevar Shyshka
Addiction (Substance Use Disorder) Counselor · San Jose, CA
NPI number
1609324433
Active
Practice location
810 Palm St
San Jose, CA 95110-3030
Fax (408) 294-5072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 430080AN (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1609324433
Trevar Shyshka's National Provider Identifier is 1609324433, issued on Sep 21, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Sep 21, 2016.