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Travis Gordon
Professional Counselor in Grand Rapids, Michigan
NPI 1104488105

Travis Gordon is a Professional Counselor based in Grand Rapids, MI and is specialized in Professional. Travis Gordon practices in Grand Rapids, MI. The NPI Number for Travis Gordon is 1104488105 and holds a License No. 6451017462 (Michigan).

The current practice location address for Travis Gordon is 4867 E Beltline Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-232-6050.

Location: 4867 E Beltline Ave Ne, Grand Rapids, MI, 49525-5803
person
Provider Profile Details
NPI Number
1104488105
Provider Name
Travis Gordon
Credential
Provider Entity Type
Individual
Gender
Male
Address
4867 E Beltline Ave Ne, Grand Rapids, MI, 49525-5803
Phone Number
616-232-6050
Fax Number
Provider Enumeration Date
07/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4867 E Beltline Ave Ne
City
State
Zip
49525
Phone Number
616-232-6050
Fax Number
person
Provider Business Mailing Address Details
Address
4867 E Beltline Ave Ne
City
State
Zip
49525
Phone Number
616-232-6050
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6451017462 (Michigan)
Definition
Definition to come...
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