Individual
GENESIS TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 S ALMA SCHOOL RD APT 3118, CHANDLER, AZ 85248-5571
(575) 621-0911
Mailing address
4800 S ALMA SCHOOL RD APT 3118, CHANDLER, AZ 85248-5571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0206061
NM
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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