Individual
MS. BREANNA DOMONIQUE TREJO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDRC
Contact information
Practice address
5473 KEARNY VILLA RD, SAN DIEGO, CA 92123-1150
(855) 325-8428
Mailing address
5473 KEARNY VILLA RD, SAN DIEGO, CA 92123-1150
(855) 325-8428
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18152
CA
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
08/15/2025
Last updated
11/10/2025
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