Blair, Travis Jamal

Blair, Travis Jamal is an sole proprietor health care provider with primary practice located at 11600 Eldridge Ave , Lake View Terrace CA 91342-6506. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Blair, Travis Jamal can be contacted via phone (818) 686-3000.

Contact Information

Primary practice address
11600 Eldridge Ave Lake View Terrace CA 91342-6506
Phone: (818) 686-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 122092 California

Profile Details

NPI number 1043762321
LBN Legal business name Blair, Travis Jamal
Credentials ACSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2016
Last updated Apr 22nd, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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