Individual
JONATHAN TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3171 S JONES BLVD, LAS VEGAS, NV 89146-6703
(702) 586-8693
Mailing address
1020 HEBERDEEN CT, NORTH LAS VEGAS, NV 89032-7690
(702) 239-6043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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