TRAVIS JAMES FLEWELLING

TROY, NY
NPI1174096010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  31576)
Enumeration Date2019-01-03
Last Update Date2020-12-16
Business Address
TRAVIS JAMES FLEWELLING CASAC
2435 6TH AVE
TROY, NY 12180-2227
Phone number: 518-274-5143
Mailing Address
TRAVIS JAMES FLEWELLING CASAC
205 DEER RUN DR APT C
HUDSON FALLS, NY 12839-2739
Phone number: