Individual
TRAVIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3037 LEXINGTON AVE, CAPE GIRARDEAU, MO 63701-2602
(573) 382-7220
(573) 240-9737
Mailing address
3037 LEXINGTON AVE, CAPE GIRARDEAU, MO 63701-2602
(573) 382-7220
(573) 240-9737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2009023490
MO
101YM0800X
Mental Health Counselor
LPC3685
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807107600
—
ID
Enumeration date
10/10/2006
Last updated
01/16/2026
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