Troche, Melissa Dolores
Troche, Melissa Dolores is an sole proprietor health care provider with primary practice located at 2000 Alameda De Las Pulgas , San Mateo CA 94403-1269. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Troche, Melissa Dolores can be contacted via phone (650) 437-3269.Contact Information
Primary practice address
2000 Alameda De Las Pulgas
San Mateo CA 94403-1269
Phone: (650) 437-3269
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1346528106 | California |
| Other Service Providers / Peer Specialist | 175T00000X | 172V00000X | California |
Profile Details
| NPI number | 1376212241 |
|---|---|
| LBN Legal business name | Troche, Melissa Dolores |
| Credentials | CADC I |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2021 |
| Last updated | Aug 16th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376212241 | NPPES |
| California | MEDICAID | 101YA0400X |
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