Individual
TRAVIS STEVEN JOHNSON NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT-IT
Contact information
Practice address
1020 SUPERIOR AVE, SHEBOYGAN, WI 53081-3362
(920) 226-9599
Mailing address
1020 SUPERIOR AVE, SHEBOYGAN, WI 53081-3362
(920) 226-9599
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
604-228
WI
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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