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Individual
TRAVIS ROSENBLATT
Active
Individual
TRAVIS ROSENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
AMFT163101
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
06/02/2022
Last updated
06/26/2026
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