TRAVIS HENDERSON

MARYSVILLE, CA
NPI1932527504
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  111101051535)
Enumeration Date2014-04-01
Last Update Date2014-04-01
Business Address
-- TRAVIS HENDERSON RAS111101051535
1496 N BEALE RD
MARYSVILLE, CA 95901-6205
Phone number: 530-749-8640
Mailing Address
-- TRAVIS HENDERSON RAS111101051535
1496 N BEALE RD
MARYSVILLE, CA 95901-6205
Phone number: 530-749-8640
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