Individual
TOR TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1600 LENA ST STE C, SANTA FE, NM 87505-3891
(971) 261-8737
(505) 796-5112
Mailing address
132 ARROYO HONDO RD, SANTA FE, NM 87508-5941
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-0057
NM
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/22/2020
Last updated
11/18/2025
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