NPI 1003037557

Travis Merrell Trone

Practitioner Addiction (Substance Use Disorder) Counselor Centralia, IL

Practice location

Address: 628 Tracy Ter, Centralia, IL 62801-4478
Phone: (618) 533-2579

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1003037557
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.