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Organization
TRAVISS FAMILY COUNSELING
Active
Organization
TRAVISS FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK A TRAVISS LCSW (PRESIDENT)
(707) 526-2595
Entity
Organization
Contact information
Practice address
2455 BENNETT VALLEY RD, SUITE 208B, SANTA ROSA, CA 95404-5663
(707) 526-2595
(707) 539-6809
Mailing address
1825 SAN RAMON WAY, SANTA ROSA, CA 95409-3967
(707) 526-2595
(707) 539-6809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS4035 & LCS5260
CA
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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