person
Travis Shawn Whitehead, RADT
Addiction (Substance Use Disorder) Counselor in Ceres, California
NPI 1336791052

Travis Shawn Whitehead is an Addiction (Substance Use Disorder) Counselor based in Patterson, CA and is specialized in Addiction (Substance Use Disorder). Travis Shawn Whitehead practices in Ceres, CA and has the professional credentials of RADT. The NPI Number for Travis Shawn Whitehead is 1336791052 and holds a License No. R1350870619 (California).

The current practice location address for Travis Shawn Whitehead is 1904 Richland Ave, Ceres, CA and can be reached out via phone at 209-525-7411 and via fax at 209-541-2114.

Location: 1904 Richland Ave, Ceres, CA, 95363-8300
person
Provider Profile Details
NPI Number
1336791052
Provider Name
Travis Shawn Whitehead
Credential
RADT
Provider Entity Type
Individual
Gender
Male
Address
1904 Richland Ave, Ceres, CA, 95363-8300
Phone Number
209-525-7411
Fax Number
209-541-2114
Provider Enumeration Date
07/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1904 Richland Ave
City
State
Zip
95307-4562
Phone Number
209-525-7411
Fax Number
209-541-2114
person
Provider Business Mailing Address Details
Address
1904 Richland Ave
City
State
Zip
95307-4562
Phone Number
209-525-7411
Fax Number
209-541-2114
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1350870619 (California)
Definition
Definition to come...
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