Provider Demographics
NPI:1457593311
Name:NASH, TREINA ELIZABETH (MFT)
Entity type:Individual
Prefix:MRS
First Name:TREINA
Middle Name:ELIZABETH
Last Name:NASH
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 SIERRA CT
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-6840
Mailing Address - Country:US
Mailing Address - Phone:760-685-1901
Mailing Address - Fax:760-806-2676
Practice Address - Street 1:1002 S COAST HWY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-5005
Practice Address - Country:US
Practice Address - Phone:760-685-1901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36080106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist