TRAVIS SHAWN WHITEHEAD

CERES, CA
NPI1336791052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Ci42380424)
Enumeration Date2019-07-12
Last Update Date2024-07-24
Business Address
TRAVIS SHAWN WHITEHEAD CADC I
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7411
Mailing Address
TRAVIS SHAWN WHITEHEAD CADC I
1515 HORIZON LN
PATTERSON, CA 95363-8300
Phone number: 757-508-7878
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