Individual
TRAVIS TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
297 R DUKE LN, BENTON, KY 42025-5754
(270) 703-1332
Mailing address
297 R DUKE LN, BENTON, KY 42025-5754
(270) 703-1332
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCPCC00223172
KY
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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