BRAD TRAVIS

JOLIET, IL
NPI1114202074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  14173)
Enumeration Date2011-10-11
Last Update Date2011-10-11
Business Address
Mr. BRAD TRAVIS MS.CADC
1224 NORLEY AVE
JOLIET, IL 60435-4074
Phone number: 815-690-0213
Mailing Address
Mr. BRAD TRAVIS MS.CADC
PO BOX 153
JOLIET, IL 60434-0153
Phone number: 815-690-0213
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