Individual
TRAVIS CAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC 1
Contact information
Practice address
515 FRANQUETTE ST, MEDFORD, OR 97501-7829
(541) 772-1777
(541) 734-2410
Mailing address
515 FRANQUETTE ST, MEDFORD, OR 97501-7829
(541) 324-3401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-06-50
OR
Other
Enumeration date
07/12/2010
Last updated
01/26/2016
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