Basic Information
| Provider Information | |||||||||
| NPI: | 1851931034 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VARELA URREA | ||||||||
| FirstName: | TROZKI | ||||||||
| MiddleName: | YOVANY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 CAMINO EL ESTERO | ||||||||
| Address2: | |||||||||
| City: | MONTEREY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939403231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8316494522 | ||||||||
| FaxNumber: | 8316491581 | ||||||||
| Practice Location | |||||||||
| Address1: | 41 E SAN LUIS ST | ||||||||
| Address2: | |||||||||
| City: | SALINAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939013437 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8316763715 | ||||||||
| FaxNumber: | 8312874841 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/15/2020 | ||||||||
| LastUpdateDate: | 01/15/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 01/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.