Individual provider · Type 1 NPI
Mario Trevino
Mental Health Counselor · San Jose, CA
NPI number
1629328968
Active
Practice location
485 N 1st St
San Jose, CA 95112-4067
Mailing address
2275 Arlington Dr
San Leandro, CA 94578-1132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1629328968
Mario Trevino's National Provider Identifier is 1629328968, issued on Sep 13, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Jun 9, 2014.