TRAVIS CAVALLI

MEDFORD, OR
NPI1902118581
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  10-06-50)
Enumeration Date2010-07-12
Last Update Date2016-01-26
Business Address
-- TRAVIS CAVALLI CADC 1
515 FRANQUETTE ST
MEDFORD, OR 97501-7829
Phone number: 541-772-1777
Mailing Address
-- TRAVIS CAVALLI CADC 1
515 FRANQUETTE ST
MEDFORD, OR 97501-7829
Phone number: 541-324-3401
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