person
Travis Henderson, RAS111101051535
Addiction (Substance Use Disorder) Counselor in Marysville, California
NPI 1932527504

Travis Henderson is an Addiction (Substance Use Disorder) Counselor based in Marysville, CA and is specialized in Addiction (Substance Use Disorder). Travis Henderson practices in Marysville, CA and has the professional credentials of RAS111101051535. The NPI Number for Travis Henderson is 1932527504 and holds a License No. 111101051535 (California).

The current practice location address for Travis Henderson is 1496 N Beale Rd, Marysville, CA and can be reached out via phone at 530-749-8640 and via fax at 530-749-8646.

Location: 1496 N Beale Rd, Marysville, CA, 95901-6205
person
Provider Profile Details
NPI Number
1932527504
Provider Name
Travis Henderson
Credential
RAS111101051535
Provider Entity Type
Individual
Gender
Male
Address
1496 N Beale Rd, Marysville, CA, 95901-6205
Phone Number
530-749-8640
Fax Number
530-749-8646
Provider Enumeration Date
04/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1496 N Beale Rd
City
State
Zip
95901-6205
Phone Number
530-749-8640
Fax Number
530-749-8646
person
Provider Business Mailing Address Details
Address
1496 N Beale Rd
City
State
Zip
95901-6205
Phone Number
530-749-8640
Fax Number
530-749-8646
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
111101051535 (California)
Definition
Definition to come...
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