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Individual

TRAVIS M MORRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, LCADC

Contact information

Practice address
121 E 2ND ST, STE 401, OWENSBORO, KY 42303-4109
(270) 315-1226
(270) 240-1224
Mailing address
121 E 2ND ST, STE 401, OWENSBORO, KY 42303-4109
(270) 315-1226
(270) 315-1226

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
166043
KY
1041C0700X
Clinical Social Worker
Primary
252396
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100412480
KY
Enumeration date
08/26/2012
Last updated
05/09/2019
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