Traviss Family Counseling

NPI 1215087697 - Social Worker - 1041C0700X

NPI Details
NPI 1215087697
Enumeration Date 01/10/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PATRICK A PATRICK
Position PRESIDENT
Phone (707) 526-2595
Fax (707) 539-6809
Practice Location
2455 BENNETT VALLEY RD
SUITE 208B
SANTA ROSA CA, 95404-5663, US
Phone (707) 526-2595
Fax (707) 539-6809
Business Location
1825 SAN RAMON WAY
SANTA ROSA CA, 95409-3967, US
Phone (707) 526-2595
Fax (707) 539-6809
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS4035 & LCS5260
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According to our database, Traviss Family Counseling NPI is 1215087697, taxonomy code is 1041C0700X and license number is LCS4035 & LCS5260, license state is located at California. Traviss Family Counseling physically located at 2455 Bennett Valley Rd, Santa Rosa CA, 95404-5663. NPI Number 1033115704 has the healthcare provider type.

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1215087697 NPI number is provided on an as is basis without warranty of any kind. 1215087697 is maintained by the National Plan & Provider Enumeration System. The contents of Traviss Family Counseling are for informational purposes only.