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MR. TRAVIS K CROWSON LMFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1326260480

Individual Registrant:
MR. TRAVIS K CROWSON LMFT
Gender: M
Sole Proprietor

Location and contact information for practice:
300 E HOSPITAL ROAD 12A-10 FT GORDON, GA 30905-5650 US
Tel: 706-787-2884  Fax: --

Contact information for business:
300 E HOSPITAL ROAD 13A-10 FT GORDON, GA 30905-5650 US
Tel: 706-787-2884  Fax: --

Registration Information:
NPI: 1326260480
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
KYKY-0576

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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