MR. TREVOR L BOTTORFF LAADC CSC NPI 1457618001

NPI Information

MR. Trevor L Bottorff, LAADC, CSC is a counselor in San Jose, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Trevor L Bottorff, LAADC, CSC NPI is 1457618001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

976 LENZEN AVENUE
ROOM 4
SAN JOSE, CA
ZIP 95126
Phone: (408) 792-5274
Fax: (408) 947-8719

The enumeration date for this NPI number is 4/20/2012 and was last updated on 4/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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