Individual
ALICIA TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 609-9603
Mailing address
1384 HARBOR PARK DR, MEMPHIS, TN 38103-9031
(253) 370-5804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/28/2015
Last updated
08/29/2023
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