TRAVIS CLARK ACORD

MEDFORD, OR
NPI1952976979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-05-21
Last Update Date2021-05-21
Business Address
TRAVIS CLARK ACORD
1191 HAZEL ST
MEDFORD, OR 97501
Phone number: 541-476-2373
Mailing Address
TRAVIS CLARK ACORD
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373