Travis Sanderson

NPI #1093076200 in Kamas, Utah

Provider Information

NPI Number: 1093076200
Entity Type: Individual
Name: Travis Sanderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Jun 4, 2012
Last Updated: Mar 9, 2018

Practice Location

Address: 228 W 200 S STE 2E
City: Kamas
State: Utah
ZIP Code: 84036-9010
Phone: (801) 360-6955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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