Individual
TRAVIS EUGENE EMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2980 CEDAR ST, SAN DIEGO, CA 92102-1599
(619) 239-7370
Mailing address
2980 CEDAR ST, SAN DIEGO, CA 92102-1599
(619) 239-7370
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1578040924
CA
175T00000X
Peer Specialist
Primary
MPSS-WHQDPI
CA
Other
Enumeration date
04/28/2025
Last updated
06/24/2025
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