Mark Clarence Travis in Delaware - Addiction (substance Use Disorder)

Mark Clarence Travis - NPI 1699862540

Mark Clarence Travis is a Addiction (substance Use Disorder) in Delaware, Ohio. Mark Clarence Travis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mark Clarence Travis is 1699862540. The last update date is 2007-07-08.

Mark Clarence Travis's current location address is 250 S Henry St, Delaware, Ohio. You can contact this provider via phone number 7403694482 and fax number 7403694908. The mailing address for Mark Clarence Travis is 250 S Henry St, Delaware, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Clarence Travis
Address 250 S Henry St, Delaware, Ohio
Phone Number 7403694482
Fax Number 7403694908
Sole Proprietor N
Credentials LPCC, LICD

NPI Number Detail

NPI Number 1699862540
Provider Enumeration Date 2006-10-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 250 S Henry St
City Delaware
State Ohio (OH)
Post Code 430152978
Phone Number 7403694482
Fax Number 7403694908

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 902899
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Mark Clarence Travis

What is the unique 10-digit identification code issued to Mark Clarence Travis by the Centers for Medicare & Medicaid Services?

The Mark Clarence Travis has been assigned the NPI (National Provider Identifier) 1699862540 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Mark Clarence Travis's facilities are geographically located?

The facilities of Mark Clarence Travis are physically situated at the following location: 250 S Henry St, Delaware, OH, 430152978.

What is Mark Clarence Travis's area of expertise and its corresponding taxonomy classification?

The Mark Clarence Travis's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.

When did the Mark Clarence Travis receive its 1699862540?

The Mark Clarence Travis was issued its 1699862540 on 2006-10-10, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Mark Clarence Travis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mark Clarence Travis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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