Individual provider · Type 1 NPI

Mark Clarence Travis, LPCC, LICDC

Addiction (Substance Use Disorder) Counselor · Delaware, OH

NPI number 1699862540 Active

Practice location

250 S Henry St
Delaware, OH 43015-2978

Call (740) 369-4482 Map

Fax (740) 369-4908

Mailing address

437 N Washington St
Delaware, OH 43015-1241

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X902899 (OH)
Mental Health Counselor 101YM0800XE-0003460 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1699862540

Mark Clarence Travis, LPCC, LICDC's National Provider Identifier is 1699862540, issued on Oct 10, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Delaware, OH. The record was last updated on Sep 11, 2025.