Most Relevant Information
Provider Data
| NPI Number: | 1003660333 |
| Provider Name: | TRAVIS MAURICE SPENCER LGPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | LGPC200020 |
Most Important Dates
| Enumeration Date: | 04/15/2024 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
2115 WISCONSIN AVE NW
WASHINGTON
DC
200072265
Practice Location Phone/Fax
| Phone: | 2029445400 |
| Fax: |
Provider Mailing Location
4714 MEADE ST NE
WASHINGTON
DC
200193946
Provider Mailing Phone/Fax
| Phone: | 2025278062 |
| Fax: |