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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376212241 NPPES
California MEDICAID 101YA0400X

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