Individual provider · Type 1 NPI

Travis Shephard

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1568087609 Active

Practice location

8898 Clairemont Mesa Blvd Ste H
San Diego, CA 92123-1127

Call (858) 715-1211 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X10787 (CA)

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

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About NPI 1568087609

Travis Shephard's National Provider Identifier is 1568087609, issued on Jun 15, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Jun 15, 2020.