Individual
TRAVIS HEIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 FOURIER DR STE 200, MADISON, WI 53717-1958
(608) 740-2001
(608) 740-2002
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1265
WI
101YP2500X
Professional Counselor
Primary
1265
WI
Other
Enumeration date
09/09/2019
Last updated
04/25/2023
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