TRAVIS R FORTENBERRY

LOS ANGELES, CA
NPI1922713585
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  132511)
Enumeration Date2023-01-18
Last Update Date2023-07-20
Business Address
TRAVIS R FORTENBERRY LMFT
4470 W SUNSET BLVD STE
LOS ANGELES, CA 90027-6309
Phone number: 707-786-3555
Mailing Address
TRAVIS R FORTENBERRY LMFT
PO BOX 1159
TRINIDAD, CA 95570-1159
Phone number:
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