National Provider Identifier
Travis Jordan Atwater, MSW, CRPA-P
Travis Jordan Atwater, MSW, CRPA-P is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 627-1777.
Profile Overview
- NPI
- 1164080271
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- June 04, 2019
- Last Updated
- June 04, 2019
Practice Location
- 835 W Main St
- Rochester, NY 14611-2335
Phone: (585) 627-1777
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1164080271
- Entity Type
- Individual
- Last Name
- Atwater
- First Name
- Travis
- Middle Name
- Jordan
- Credential
- MSW, CRPA-P
- Mailing Street Address
- 835 W Main St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-2335
- Mailing Country
- US
- Mailing Phone
- (585) 627-1777
- Mailing Fax
- (585) 625-0843
- Practice Street Address
- 835 W Main St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-2335
- Practice Country
- US
- Practice Phone
- (585) 627-1777
- Practice Fax
- (585) 625-0843
- Enumeration Date
- June 04, 2019
- Last Updated
- June 04, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)