Individual provider · Type 1 NPI

Travis Cavazos

Mental Health Counselor · Bowling Green, KY

NPI number 1679941595 Active

Practice location

1048 Ashley St, Suite 201
Bowling Green, KY 42103-2449

Fax (270) 904-6570

Mailing address

104 Reynolds Rd
Glasgow, KY 42141-1177

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPCCCA00218829 (KY)

Mental Health Counselor: Definition to come...

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About NPI 1679941595

Travis Cavazos's National Provider Identifier is 1679941595, issued on Sep 9, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bowling Green, KY. The record was last updated on Sep 9, 2015.