Individual
TRAVION CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1207 E FRUIT ST, SANTA ANA, CA 92701-4206
(714) 953-9373
Mailing address
1207 E FRUIT ST, SANTA ANA, CA 92701-4206
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RH0008840522
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
05/06/2024
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