Individual
TRAVIS D. WAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 COLLEGE ST, BATTLE CREEK, MI 49037-3432
Mailing address
175 COLLEGE ST, BATTLE CREEK, MI 49037-3432
(269) 966-1460
(269) 966-2844
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6362009541
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6362009541
LICENSE NUMBER
MI
Enumeration date
06/16/2022
Last updated
06/16/2022
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