Individual
TRAVIS DEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
8400 BALTIMORE AVE STE 300, COLLEGE PARK, MD 20740-2496
(240) 630-4137
Mailing address
8400 BALTIMORE AVE STE 300, COLLEGE PARK, MD 20740-2496
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP15871
MD
Other
Enumeration date
02/20/2025
Last updated
02/25/2025
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