Individual
JESSICA MARIE TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
1030 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2921
(404) 486-9034
Mailing address
1020 ASTOR AVE SW, ATLANTA, GA 30310-4841
(832) 242-4460
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT000776
GA
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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