Provider Demographics
NPI:1447526546
Name:TRAVERS, MARION FRANCES JR (EDD, LCPC, LCADC)
Entity type:Individual
Prefix:DR
First Name:MARION
Middle Name:FRANCES
Last Name:TRAVERS
Suffix:JR
Gender:M
Credentials:EDD, LCPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1342 S DIVISION ST UNIT 401
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-6921
Mailing Address - Country:US
Mailing Address - Phone:410-845-6363
Mailing Address - Fax:443-859-8584
Practice Address - Street 1:1342 S DIVISION ST UNIT 401
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-6921
Practice Address - Country:US
Practice Address - Phone:410-845-6363
Practice Address - Fax:443-859-8584
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-22
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3841101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional