TRAVIS STEVENS

JBER, AK
NPI1679935720
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  54370)
Enumeration Date2016-03-27
Last Update Date2024-10-11
Business Address
TRAVIS STEVENS LCSW
5955 ZEAMER AVE
JBER, AK 99506-3702
Phone number: 575-572-5676
Mailing Address
TRAVIS STEVENS LCSW
5955 ZEAMER AVE
JBER, AK 99506-3702
Phone number: