Individual
LISA TRAVIS-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 WELDON PKWY, MARYLAND HEIGHTS, MO 63043-3115
(314) 569-2278
(314) 569-2280
Mailing address
140 WELDON PKWY, MARYLAND HEIGHTS, MO 63043-3115
(314) 569-2278
(314) 569-2280
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20116042865
MO
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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