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Individual
MR. TRAVIS PEARSON
Active
Individual
MR. TRAVIS PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MABC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12768
TX
101YP2500X
Professional Counselor
12768
TX
102L00000X
Psychoanalyst
12768
TX
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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