# TREVEDAN, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trevedan Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306468020
- **Authorized official:** MR. LARRY M CARTER (PRESIDENT/CEO)
- **Authorized official phone:** (562) 552-4210

## Contact information

- **Practice address:** 34778 HICKORY LN, WILDOMAR, CA 92595-8990
- **Practice address phone:** (562) 552-4210
- **Practice address fax:** (310) 356-3886
- **Mailing address:** 34778 HICKORY LN, WILDOMAR, CA 92595-8990
- **Mailing address phone:** (562) 552-4210
- **Mailing address fax:** (310) 356-3886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2020
- **Last updated:** 05/15/2020