MEDICARE: SEAN BERENSEN TRONVIG CADC-I

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		CA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	CICA01530719	CA
3	171M00000X	Case Manager/Care Coordinator	CICA01530719	CA
4	101YA0400X	Addiction (Substance Use Disorder) Counselor		CA

General Provider Information

NPI Number	:	1962123125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN BERENSEN TRONVIG CADC-I

Provider Business Mailing Address
First Line	:	14230 PALM AVE
Second Line	:
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240
Country	:	US
Telephone Number	:	760-770-2264
Fax Number	:

Provider Business Practice Location Address
First Line	:	64418 BRAE BURN AVE
Second Line	:
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240-1246
Country	:	US
Telephone Number	:	760-770-2286
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2022
Last Update Date	:	09/15/2025

Similar Medicare Providers

1992085807 — STACEY KAPLAN
Practice Location Address:

11189 HARBOUR SPRINGS CIR
BOCA RATON, FL
33428-1246

Practice Phone: 561-482-3153
Practice Fax: 561-482-5512

1407440621 — JESSA KATHRYN MURRELL
Practice Location Address:

2318 NW LEANN DR
BLUE SPRINGS, MO
64014-1246

Practice Phone: 816-237-0179
Practice Fax:

1447096532 — YELLOW HOUSE THERAPIES, LLC
Practice Location Address:

2318 NW LEANN DR
BLUE SPRINGS, MO
64014-1246

Practice Phone: 816-237-0179
Practice Fax:

1457229379 — JUAN MANUEL CORDERO HERNANDEZ
Practice Location Address:

11185 HARBOUR SPRINGS CIR
BOCA RATON, FL
33428-1246

Practice Phone: 561-552-2313
Practice Fax:

1316815160 — TERESA HERNANDEZ AGUSTI
Practice Location Address:

11185 HARBOUR SPRINGS CIR
BOCA RATON, FL
33428-1246

Practice Phone: 561-552-0149
Practice Fax:

1518819341 — WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
Practice Location Address:

15500 BUBBLING WELLS RD SPC 88
DESERT HOT SPRINGS, CA
92240-7059

Practice Phone: 360-678-5151
Practice Fax:

Directions to “ SEAN BERENSEN TRONVIG CADC-I” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.