MR. Travis C Toll

NPI #1902094949 in Medford, Oregon

Provider Information

NPI Number: 1902094949
Entity Type: Individual
Name: MR. Travis C Toll
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Oct 3, 2007
Last Updated: Mar 17, 2018

Practice Location

Address: 1175 E MAIN ST STE 1C
City: Medford
State: Oregon
ZIP Code: 97504-7457
Phone: (541) 772-0127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X
Counselor	101Y00000X	Primary

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