Individual
MELISSA DOLORES TROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
2000 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1269
(650) 437-3269
Mailing address
2000 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1269
(650) 437-3269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1346528106
CA
175T00000X
Peer Specialist
Primary
172V00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
CA
Enumeration date
09/13/2021
Last updated
08/16/2024
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