Individual provider · Type 1 NPI

Travis Tyler Boles

Mental Health Counselor · Jasper, OR

NPI number 1073254603 Active

Practice location

37875 Jasper Lowell Rd
Jasper, OR 97438-9751

Call (541) 747-1235 Map

Fax (541) 747-4722

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X101YM0800X (OR)

Mental Health Counselor: Definition to come...

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About NPI 1073254603

Travis Tyler Boles's National Provider Identifier is 1073254603, issued on Apr 6, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jasper, OR. The record was last updated on Apr 6, 2022.