Individual
TRAVIS MEDRANO WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
720 CHUTE CANYON WAY, BONNERS FERRY, ID 83805-5220
(208) 610-2980
Mailing address
720 CHUTE CANYON WAY, BONNERS FERRY, ID 83805-5220
(208) 610-2980
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-7299
ID
Other
Enumeration date
08/21/2019
Last updated
12/06/2023
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