Organization
TRAVIS TAYLOR MARRIAGE AND FAMILY THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS R TAYLOR LMFT (CEO)
(909) 816-9417
Entity
Organization
Contact information
Practice address
17662 IRVINE BLVD STE 7, TUSTIN, CA 92780-3132
(909) 816-9417
Mailing address
13530 AMANDA DR, CHINO, CA 91710-4782
(909) 816-9417
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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