TRAVIS SCOTT

COLVILLE, WA
NPI1750277307
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-06-17
Last Update Date2025-06-17
Business Address
TRAVIS SCOTT SUDPT
218 N OAK ST
COLVILLE, WA 99114-2968
Phone number: 509-684-5867
Mailing Address
TRAVIS SCOTT SUDPT
1256 S ELM ST
COLVILLE, WA 99114-2668
Phone number: 253-290-2593