Individual
ROBERT TREVENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW,LSUDC, UTAH
Contact information
Practice address
494 W 1400 N, OREM, UT 84057-7001
(801) 473-3963
Mailing address
380 E 1800 S, SPRINGVILLE, UT 84663-2611
(801) 874-5794
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4920528-6006
UT
1041C0700X
Clinical Social Worker
Primary
4920528-3501
UT
1041C0700X
Clinical Social Worker
LCSW-927
WY
Other
Enumeration date
08/11/2015
Last updated
03/02/2020
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