MR. BRAD TRAVIS MS.CADC NPI 1114202074

NPI Information

NPI: 1114202074
Provider Name: MR. BRAD TRAVIS, MS.CADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1224 NORLEY AVE
JOLIET, IL
ZIP 60435
Phone: (815) 690-0213
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MR. Brad Travis, MS.CADC is an addiction (substance use disorder) counselor in Joliet, IL. MR. Brad Travis, MS.CADC NPI is 1114202074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1224 NORLEY AVE
JOLIET, IL
ZIP 60435-074
Phone: (815) 690-0213
Fax: (815) 846-0436

The enumeration date for this NPI number is 10/11/2011 and was last updated on 10/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	14173	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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