Tesla Travelstead, MSW

NPI #1104548361 in Eldorado, Illinois

Provider Information

NPI Number: 1104548361
Entity Type: Individual
Name: Tesla Travelstead, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MSW
Enumeration Date: Sep 14, 2022
Last Updated: Sep 14, 2022

Practice Location

Address: 1200 LOCUST ST
City: Eldorado
State: Illinois
ZIP Code: 62930-1723
Phone: (618) 252-9036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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