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1437568797
TRAVIS BANKS
PORTERVILLE, CA
NPI
1437568797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci22110919)
Enumeration Date
2014-08-11
Last Update Date
2022-01-12
Business Address
TRAVIS BANKS CADC L
1055 W HENDERSON AVE
PORTERVILLE, CA 93257-1490
Phone number: 559-788-1500
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Mailing Address
TRAVIS BANKS CADC L
1055 W HENDERSON AVE
PORTERVILLE, CA 93257-1490
Phone number: 559-788-1500
Copy
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