TRAVIS BANKS

PORTERVILLE, CA
NPI1437568797
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Ci22110919)
Enumeration Date2014-08-11
Last Update Date2022-01-12
Business Address
TRAVIS BANKS CADC L
1055 W HENDERSON AVE
PORTERVILLE, CA 93257-1490
Phone number: 559-788-1500
Mailing Address
TRAVIS BANKS CADC L
1055 W HENDERSON AVE
PORTERVILLE, CA 93257-1490
Phone number: 559-788-1500
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