Individual provider · Type 1 NPI

Travis Pantiel

Mental Health Counselor · Tampa, FL

NPI number 1629412176 Active

Practice location

12512 Bruce B Downs Blvd
Tampa, FL 33612-9209

Mailing address

3303 N Lakeview Dr
Tampa, FL 33618-1364

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629412176

Travis Pantiel's National Provider Identifier is 1629412176, issued on Apr 25, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Apr 25, 2013.