person
Trevar Shyshka
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1609324433

Trevar Shyshka is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Trevar Shyshka practices in San Jose, CA. The NPI Number for Trevar Shyshka is 1609324433 and holds a License No. 430080AN (California).

The current practice location address for Trevar Shyshka is 810 Palm St, San Jose, CA and can be reached out via phone at 408-500-6229 and via fax at 408-294-5072.

Location: 810 Palm St, San Jose, CA, 95110-3030
person
Provider Profile Details
NPI Number
1609324433
Provider Name
Trevar Shyshka
Credential
Provider Entity Type
Individual
Gender
Male
Address
810 Palm St, San Jose, CA, 95110-3030
Phone Number
408-500-6229
Fax Number
408-294-5072
Provider Enumeration Date
09/21/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
430080AN 01 CA DHCS CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
810 Palm St
City
State
Zip
95110-3030
Phone Number
408-500-6229
Fax Number
408-294-5072
person
Provider Business Mailing Address Details
Address
810 Palm St
City
State
Zip
95110-3030
Phone Number
408-500-6229
Fax Number
408-294-5072
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
430080AN (California)
Definition
Definition to come...
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