Individual provider · Type 1 NPI
Travis Simak
Professional Counselor · San Diego, CA
NPI number
1205664992
Active
Practice location
2865 Logan Ave
San Diego, CA 92113-2411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 21470 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Professional Counselor: Definition to come...
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About NPI 1205664992
Travis Simak's National Provider Identifier is 1205664992, issued on Jul 24, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Diego, CA. The record was last updated on Mar 18, 2026.