Individual
TRAVA NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 MAIN ST STE 411, KLAMATH FALLS, OR 97601-6064
(541) 625-0204
Mailing address
1605 N ELDORADO AVE, KLAMATH FALLS, OR 97601-1816
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
10/30/2024
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