Individual provider · Type 1 NPI

Travis Shawn Whitehead, CADC I

Addiction (Substance Use Disorder) Counselor · Ceres, CA

NPI number 1336791052 Active

Practice location

1904 Richland Ave
Ceres, CA 95307-4562

Call (209) 525-7411 Map

Fax (209) 541-2114

Mailing address

1515 Horizon Ln
Patterson, CA 95363-8300

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI42380424 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1336791052

Travis Shawn Whitehead, CADC I's National Provider Identifier is 1336791052, issued on Jul 12, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ceres, CA. The record was last updated on Jul 24, 2024.