Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prudencio Trevino III, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1659066827

Prudencio Trevino III, SUDRC is an Addiction (Substance Use Disorder) Counselor in El Cajon, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

550 Fesler St Ste G-1
El Cajon, CA 92020-1959
Phone: (619) 588-5361
Fax: (619) 588-5421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1659066827
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC
Sole proprietorYes
NPI enumeratedApril 5, 2023
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023

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