Individual
MR. TRAVIS SCOTT KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
677 EAST MAIN ST, SUITE A, CENTREVILLE, MI 49032
(269) 467-1000
(269) 467-3075
Mailing address
677 EAST MAIN ST, SUITE A, CENTREVILLE, MI 49032
(269) 467-1000
(269) 467-3075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011548
MI
Other
Enumeration date
10/21/2009
Last updated
08/27/2021
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