Travis, Mark Clarence

Travis, Mark Clarence is an individual health care provider with primary practice located at 250 S Henry St , Delaware OH 43015-2978. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Travis, Mark Clarence can be contacted via phone (740) 369-4482.

Contact Information

Primary practice address
250 S Henry St Delaware OH 43015-2978
Phone: (740) 369-4482
Fax: (740) 369-4908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 902899 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E-0003460 Ohio

Profile Details

NPI number 1699862540
LBN Legal business name Travis, Mark Clarence
Credentials LPCC, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers