TRAVIS RANDALL FISCHER

INDIO, CA
NPI1154076370
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: CA  Ci4270524)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1458280222)
172V00000X Community Health Worker
175T00000X Peer Specialist
175T00000X Peer Specialist
(Licence: CA  MPSS-TBYHIP)
Enumeration Date2022-02-16
Last Update Date2024-09-13
Business Address
TRAVIS RANDALL FISCHER
44199 MONROE ST STE A
INDIO, CA 92201-3096
Phone number: 760-863-8133
Mailing Address
TRAVIS RANDALL FISCHER
46900 MONROE ST STE A101
INDIO, CA 92201-4828
Phone number: 760-863-7219