Provider Demographics
NPI:1942421565
Name:TREFTS, ALLY M (AOD)
Entity Type:Individual
Prefix:MS
First Name:ALLY
Middle Name:M
Last Name:TREFTS
Suffix:
Gender:F
Credentials:AOD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 SEABRIGHT #B
Mailing Address - Street 2:
Mailing Address - City:GROVER BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93433-2411
Mailing Address - Country:US
Mailing Address - Phone:805-898-1018
Mailing Address - Fax:805-898-1056
Practice Address - Street 1:2950 STATE ST. STE. A
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105
Practice Address - Country:US
Practice Address - Phone:805-898-1018
Practice Address - Fax:805-898-1056
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA42ABMedicaid