TRAVIS DUQUESNE HARRELSON
NPI 1881421949
Counselor - Mental Health in Grants Pass, OR
Active since September 13, 2024
About Travis Duquesne Harrelson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAVIS DUQUESNE HARRELSON (NPI 1881421949) is an individual mental health provider in Grants Pass, Oregon and active in the NPI registry since September 2024.
NPPES Registry Identity
NPI1881421949
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTRAVIS DUQUESNE HARRELSON
Location Address1644 CARNAHAN DRGrants Pass, OR 97527-4724
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 437-2373
Sole ProprietorNo
Enumeration DateSeptember 13, 2024
NPPES CertifiedSeptember 13, 2024
✔ NPI 1881421949 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1644 CARNAHAN DR, Grants Pass, OR 97527
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Mental Health)
1644 CARNAHAN DR
GRANTS PASS, OR 97527
GRANTS PASS, OR 97527
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881421949, enumerated as an "individual" on September 13, 2024.
The provider is located at 1644 CARNAHAN DR GRANTS PASS, OR 97527 and the phone number is (541) 437-2373.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
