Individual provider · Type 1 NPI

Travis Dale Smith, LPC

Professional Counselor · Phoenix, AZ

NPI number 1245864958 Active

Practice location

2255 W Northern Ave
Phoenix, AZ 85021-4936

Fax (602) 995-1863

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-18444 (AZ)

Professional Counselor: Definition to come...

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About NPI 1245864958

Travis Dale Smith, LPC's National Provider Identifier is 1245864958, issued on Mar 3, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 3, 2020.