TRAVIS CLAY REYSEN NPI 1811524838

NPI Information

NPI: 1811524838
Provider Name: TRAVIS CLAY REYSEN
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2966 E FRONTERA ST APT 89
ANAHEIM, CA
ZIP 92806
Phone: (714) 600-5779
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Travis Clay Reysen is an addiction (substance use disorder) counselor in Anaheim, CA. Travis Clay Reysen NPI is 1811524838. 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:

2966 E FRONTERA ST APT 89
ANAHEIM, CA
ZIP 92806-430
Phone: (714) 600-5779

The enumeration date for this NPI number is 3/27/2020 and was last updated on 4/2/2020.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)		CALIFORNIA	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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