Provider Demographics
NPI:1063710382
Name:BUCHTON, TRAVIS JOHN (CADC)
Entity type:Individual
Prefix:MR
First Name:TRAVIS
Middle Name:JOHN
Last Name:BUCHTON
Suffix:
Gender:M
Credentials:CADC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1919 APPLE ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-4492
Mailing Address - Country:US
Mailing Address - Phone:760-547-1280
Mailing Address - Fax:760-547-1268
Practice Address - Street 1:1919 APPLE ST
Practice Address - Street 2:SUITE G
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-4492
Practice Address - Country:US
Practice Address - Phone:760-547-1280
Practice Address - Fax:760-547-1268
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC8471214101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)