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Mr. Travis Van Deaton
Mental Health Counselor in Granger, Indiana
NPI 1952547903

Travis Van Deaton is a Mental Health Counselor based in Granger, IN and is specialized in Mental Health. Travis Van Deaton practices in Granger, IN. The NPI Number for Travis Van Deaton is 1952547903 and holds a License No. (Indiana).

The current practice location address for Travis Van Deaton is 51960 Gumwood Rd., Granger, IN and can be reached out via phone at 574-247-4665.

Location: 51960 Gumwood Rd., Granger, IN, 46530-6207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952547903
Provider Name
Travis Van Deaton
Credential
Provider Entity Type
Individual
Gender
Male
Address
51960 Gumwood Rd., Granger, IN, 46530-6207
Phone Number
574-247-4665
Fax Number
Provider Enumeration Date
12/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200429240 05 IN
institution
Provider Business Practice Location Address Details
Address
51960 Gumwood Rd.
City
Granger
State
Indiana
Zip
46530-7068
Phone Number
574-247-4665
Fax Number
person
Provider Business Mailing Address Details
Address
51960 Gumwood Rd.
City
Granger
State
Indiana
Zip
46530-7068
Phone Number
574-247-4665
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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