| Traviss Family Counseling | |
|
2455 Bennett Valley Rd Suite 208b Santa Rosa CA 95404-5663 | |
| (707) 526-2595 | |
| (707) 539-6809 |
| Full Name | Traviss Family Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2455 Bennett Valley Rd, Santa Rosa, California |
| Authorized Official Name and Position | Patrick A Traviss (PRESIDENT) |
| Authorized Official Contact | 7075262595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Traviss Family Counseling 1825 San Ramon Way Santa Rosa CA 95409-3967 Ph: (707) 526-2595 | Traviss Family Counseling 2455 Bennett Valley Rd Suite 208b Santa Rosa CA 95404-5663 Ph: (707) 526-2595 |
| NPI Number | 1215087697 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215087697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS4035 & LCS5260 (California) | Primary |
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