| Trevedan Wellness | |
|
34778 Hickory Ln Wildomar CA 92595-8990 | |
| (562) 552-4210 | |
| (310) 356-3886 |
| Full Name | Trevedan Wellness |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 34778 Hickory Ln, Wildomar, California |
| Authorized Official Name and Position | Larry M Carter (PRESIDENT/CEO) |
| Authorized Official Contact | 5625524210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trevedan Wellness 34778 Hickory Ln Wildomar CA 92595-8990 Ph: (562) 552-4210 | Trevedan Wellness 34778 Hickory Ln Wildomar CA 92595-8990 Ph: (562) 552-4210 |
| NPI Number | 1306468020 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 05/15/2020 |
| Certification Date | 05/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306468020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | () | Primary |
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