Individual
TRAVIS JORDAN ATWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CRPA-P
Contact information
Practice address
835 W MAIN ST, ROCHESTER, NY 14611-2335
(585) 627-1777
(585) 625-0843
Mailing address
835 W MAIN ST, ROCHESTER, NY 14611-2335
(585) 627-1777
(585) 625-0843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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