TRAVIS DEJON PARKER

UPLAND, CA
NPI1447035175
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1514860723)
Enumeration Date2023-08-30
Last Update Date2023-08-30
Business Address
TRAVIS DEJON PARKER
1260 E ARROW HWY BLDG E
UPLAND, CA 91786-4984
Phone number: 909-932-1069
Mailing Address
TRAVIS DEJON PARKER
1260 E ARROW HWY BLDG E
UPLAND, CA 91786-4984
Phone number: 909-932-1069
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