Individual
ALLISON MCKNIGHT TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
3840 GILMER RD, LONGVIEW, TX 75604-1173
(903) 918-2459
(903) 295-5858
Mailing address
PO BOX 9473, LONGVIEW, TX 75608-9473
(903) 918-2459
(903) 295-5858
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1671331-02
—
TX
Enumeration date
04/19/2007
Last updated
02/15/2012
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