TRAVIS ANDREW BOOTH

EVANSTON, IL
NPI1730423393
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180.009981)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: IL  178.008592)
Enumeration Date2012-11-20
Last Update Date2016-03-07
Business Address
-- TRAVIS ANDREW BOOTH MA, LCPC
1007 CHURCH ST SUITE 302
EVANSTON, IL 60201-3624
Phone number: 847-492-1938
Mailing Address
-- TRAVIS ANDREW BOOTH MA, LCPC
1007 CHURCH ST SUITE 302
EVANSTON, IL 60201-3624
Phone number: 847-492-1938