person
Travis Smith, LPC
Mental Health Counselor in Cape Girardeau, Missouri
NPI 1114015039

Travis Smith is a Mental Health Counselor based in Cape Girardeau, MO and is specialized in Mental Health. Travis Smith practices in Cape Girardeau, MO and has the professional credentials of LPC. The NPI Number for Travis Smith is 1114015039 and holds a License No. 2009023490 (Missouri).

The current practice location address for Travis Smith is 339 Broadway St Ste 102, Cape Girardeau, MO and can be reached out via phone at 573-271-2008 and via fax at 573-271-2008. You can also correspond with Travis Smith through the mailing address at 339 BROADWAY ST STE 102, CAPE GIRARDEAU, MO - 63701-7321 (mailing address contact number: 573-271-2008).

Location: 339 Broadway St Ste 102, Cape Girardeau, MO, 63701-7321
person
Provider Profile Details
NPI Number
1114015039
Provider Name
Travis Smith
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
339 Broadway St Ste 102, Cape Girardeau, MO, 63701-7321
Phone Number
573-271-2008
Fax Number
573-271-2008
Provider Enumeration Date
10/10/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807107600 05 ID
institution
Provider Business Practice Location Address Details
Address
339 Broadway St Ste 102
City
State
Zip
63701-7321
Phone Number
573-271-2008
Fax Number
573-271-2008
person
Provider Business Mailing Address Details
Address
339 Broadway St Ste 102
City
State
Zip
63701-7321
Phone Number
573-271-2008
Fax Number
573-271-2008
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2009023490 (Missouri)
Definition
Definition to come...
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