Individual
TRAVIS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2002 W ANKLAM RD, TUCSON, AZ 85745-2148
(520) 678-4576
Mailing address
2002 W ANKLAM RD, TUCSON, AZ 85745-2148
(520) 678-4576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
AZ
101YM0800X
Mental Health Counselor
Primary
—
AZ
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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