Individual provider · Type 1 NPI

Travis Weaver

Addiction (Substance Use Disorder) Counselor · Prineville, OR

NPI number 1861864555 Active

Practice location

1333 NW 9th St
Prineville, OR 97754-1482

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1861864555

Travis Weaver's National Provider Identifier is 1861864555, issued on Oct 21, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Prineville, OR. The record was last updated on Oct 21, 2015.