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Trevor Patrick Maroshek

Counselor, Addiction (Substance Use Disorder) in El Cajon, CA. Individual provider (NPI-1).

NPI number1003673575
StatusActive
Last updated in NPPESMar 1, 2024

Details

NPI
1003673575
Entity type
Individual (NPI-1)
Name
Mr. Trevor Patrick Maroshek
Sex
Male
Sole proprietor
No
Enumeration date
Mar 1, 2024
Certification date
Mar 1, 2024
Last updated
Mar 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651

Phone 619-691-8164

Mailing address

1127 5th St
Imperial Beach, CA 91932-3203

Phone 949-292-1666

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