Individual
TRAVIS CIMAROLLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(575) 277-9318
Mailing address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(575) 277-9318
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2026-0040
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/22/2025
Last updated
01/16/2026
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