Individual
MR. TRAVIS S HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHC
Contact information
Practice address
2244 BROWNTOWN RD, BISHOPVILLE, SC 29010-9664
(803) 428-6052
(803) 428-5407
Mailing address
215 N MAGNOLIA ST, SUMTER, SC 29150-4943
(803) 775-9364
(803) 773-6615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457633
—
SC
Enumeration date
09/17/2012
Last updated
09/17/2012
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