Individual
CHERYL KIMPLE TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED,
Contact information
Practice address
825 E SPEER BLVD # 14, DENVER, CO 80218-3719
(303) 638-9911
(303) 543-0365
Mailing address
825 E. SPEER BLVD #14, DENVER, CO 80218-8118
(303) 638-9911
(303) 543-0365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6214
CO
101YM0800X
Mental Health Counselor
Primary
10243
CO
Other
Enumeration date
09/16/2008
Last updated
05/24/2016
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