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

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone 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.