Individual provider · Type 1 NPI

Travis Vanderbilt, MA, LADC, LPCC

Mental Health Counselor · St. Paul, MN

NPI number 1659000255 Active

Practice location

680 Stewart Ave
St. Paul, MN 55102-4117

Call (651) 292-2420 Map

Fax (651) 292-2436

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X303534 (MN)
Mental Health Counselor Primary 101YM0800X3253 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1659000255

Travis Vanderbilt, MA, LADC, LPCC's National Provider Identifier is 1659000255, issued on Jun 8, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Paul, MN. The record was last updated on Jun 8, 2022.