BARRY 0 TRAVIS

GLOUCESTER, VA
NPI1275388613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-04-19
Last Update Date2024-04-19
Business Address
BARRY 0 TRAVIS CSAC-A,QMHP-A, RPS
7405 FIDDLERS LN
GLOUCESTER, VA 23061-4390
Phone number: 804-436-4470
Mailing Address
BARRY 0 TRAVIS CSAC-A,QMHP-A, RPS
7405 FIDDLERS LN
GLOUCESTER, VA 23061-4390
Phone number: 804-436-4470
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