TRAVIS ROBERT PSOTA

MEDFORD, OR
NPI1386116952
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-12-20
Last Update Date2018-12-20
Business Address
TRAVIS ROBERT PSOTA B.S., QMHA
3501 EXCEL DR
MEDFORD, OR 97504-8067
Phone number: 541-630-3125
Mailing Address
TRAVIS ROBERT PSOTA B.S., QMHA
3501 EXCEL DR
MEDFORD, OR 97504-8067
Phone number: 541-630-3125