Provider Demographics
NPI:1932227022
Name:TREUR, JOHN HENRY
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:HENRY
Last Name:TREUR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 PATO WAY
Mailing Address - Street 2:
Mailing Address - City:NEW CUYAMA
Mailing Address - State:CA
Mailing Address - Zip Code:93254
Mailing Address - Country:US
Mailing Address - Phone:805-896-4205
Mailing Address - Fax:
Practice Address - Street 1:401 W MORRISON AVE
Practice Address - Street 2:B
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93458-6124
Practice Address - Country:US
Practice Address - Phone:805-347-3338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)