Individual
ERIN RENEE TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3915 OLD LEE HWY STE 23A, FAIRFAX, VA 22030-2432
(703) 259-5617
(703) 552-2037
Mailing address
7481 LEE HWY APT 605, FALLS CHURCH, VA 22042-1719
(240) 577-9302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704013239
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0704013239
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
06/16/2020
Last updated
06/16/2020
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