Individual
TRAVIS SLAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMHC
Contact information
Practice address
15 KANOA ST, HILO, HI 96720-2426
(808) 895-6717
Mailing address
HC 1 BOX 5230, KEAAU, HI 96749-9513
(541) 930-2857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC503
HI
101YP2500X
Professional Counselor
C5150
OR
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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