MR. BEAU TRAVIS CHAMPION MSW NPI 1225339534

NPI Information

NPI: 1225339534
Provider Name: MR. BEAU TRAVIS CHAMPION, MSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3877 12TH ST
RIVERSIDE, CA
ZIP 92501
Phone: (951) 247-6064
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MR. Beau Travis Champion, MSW is a mental health counselor in Riverside, CA. MR. Beau Travis Champion, MSW NPI is 1225339534. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3877 12TH ST
RIVERSIDE, CA
ZIP 92501-578
Phone: (951) 247-6064
Fax: (951) 242-6201

The enumeration date for this NPI number is 11/3/2010 and was last updated on 11/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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