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Travis Dejon Parker
Addiction (Substance Use Disorder) Counselor in Upland, California
NPI 1447035175

Travis Dejon Parker is an Addiction (Substance Use Disorder) Counselor based in Upland, CA and is specialized in Addiction (Substance Use Disorder). Travis Dejon Parker practices in Upland, CA. The NPI Number for Travis Dejon Parker is 1447035175 and holds a License No. R1514860723 (California).

The current practice location address for Travis Dejon Parker is 1260 E Arrow Hwy Bldg E, Upland, CA and can be reached out via phone at 909-932-1069.

Location: 1260 E Arrow Hwy Bldg E, Upland, CA, 91786-4984
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447035175
Provider Name
Travis Dejon Parker
Credential
Provider Entity Type
Individual
Gender
Male
Address
1260 E Arrow Hwy Bldg E, Upland, CA, 91786-4984
Phone Number
909-932-1069
Fax Number
Provider Enumeration Date
08/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1260 E Arrow Hwy Bldg E
City
Upland
State
California
Zip
91786-4984
Phone Number
909-932-1069
Fax Number
person
Provider Business Mailing Address Details
Address
1260 E Arrow Hwy Bldg E
City
Upland
State
California
Zip
91786-4984
Phone Number
909-932-1069
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1514860723 (California)
Definition
Definition to come...
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