TRAVIS SHEPHARD

SAN DIEGO, CA
NPI1568087609
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  10787)
Enumeration Date2020-06-15
Last Update Date2020-06-15
Business Address
TRAVIS SHEPHARD
8898 CLAIREMONT MESA BLVD STE H
SAN DIEGO, CA 92123-1127
Phone number: 858-715-1211
Mailing Address
TRAVIS SHEPHARD
8898 CLAIREMONT MESA BLVD STE H
SAN DIEGO, CA 92123-1127
Phone number: 858-715-1211
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