Provider Demographics
NPI:1407590789
Name:TREVINO, YOLANDA (HHP, CHWC, CLC)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:TREVINO
Suffix:
Gender:F
Credentials:HHP, CHWC, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-0151
Mailing Address - Country:US
Mailing Address - Phone:888-422-2304
Mailing Address - Fax:
Practice Address - Street 1:237 OVERHILL RD
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-3226
Practice Address - Country:US
Practice Address - Phone:888-422-2304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-23
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach