Lazerrick Jonmonta Travis
Lazerrick Jonmonta Travis is a Mental Health Counselor in Jackson, Mississippi. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
341 Edgewood Terrace DrJackson, MS 39206-6217
Phone: (601) 487-6344
Fax: (601) 398-0289
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1518749241 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 17, 2023 |
| Last updated in NPPES | April 14, 2025 |
| Certification date | April 14, 2025 |
| Mailing address | 341 Edgewood Terrace Dr, Jackson, MS 39206-6217 |
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-
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