Travis Jordan Atwater, MSW, CRPA-P
Counselor, Addiction (Substance Use Disorder) in Rochester, NY. Individual provider (NPI-1).
NPI number1164080271
StatusActive
Last updated in NPPESJun 4, 2019
Details
- NPI
- 1164080271
- Entity type
- Individual (NPI-1)
- Name
- Travis Jordan Atwater
- Credential
- MSW, CRPA-P
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2019
- Last updated
- Jun 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
835 W Main StRochester, NY 14611-2335
Phone 585-627-1777 · Fax 585-625-0843
Mailing address
835 W Main StRochester, NY 14611-2335
Phone 585-627-1777 · Fax 585-625-0843
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