TREVAR SHYSHKA

SAN JOSE, CA
NPI1609324433
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  430080AN)
Enumeration Date2016-09-21
Last Update Date2016-09-21
Business Address
-- TREVAR SHYSHKA
810 PALM ST
SAN JOSE, CA 95110-3030
Phone number: 408-500-6229
Mailing Address
-- TREVAR SHYSHKA
810 PALM ST
SAN JOSE, CA 95110-3030
Phone number: 408-500-6229
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