Tanisha Chanti Travis
NPI #1043597982 in Concord, North Carolina
Provider Information
- NPI Number
- 1043597982
- Entity Type
- Individual
- Name
- Tanisha Chanti Travis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Nov 7, 2011
- Last Updated
- Nov 7, 2011
Practice Location
- Address
- 284 EXECUTIVE PARK DRIVE
- Address 2
- SUITE 100
- City
- Concord
- State
- North Carolina
- ZIP Code
- 28025-1894
- Phone
- (704) 939-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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