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Organization
TRAVIS BOOTH LCPC, INC.
Active
Organization
TRAVIS BOOTH LCPC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS ANDREW BOOTH MA, LCPC (PRESIDENT)
(847) 381-2700
Entity
Organization
Contact information
Practice address
1531 S GROVE AVE UNIT 204, BARRINGTON, IL 60010-5251
(847) 381-2700
(847) 381-2722
Mailing address
1531 S GROVE AVE UNIT 204, BARRINGTON, IL 60010-5251
(847) 381-2700
(847) 381-2722
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
060.011815
IL
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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