Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY THOMAS TRAYLOR
Active Sole ProprietorMR. JERRY THOMAS TRAYLOR is a Addiction (Substance Use Disorder) Counselor healthcare provider located in OZARK, Missouri. NPI 1437294295 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · OZARK, MO
Registration Details
- NPI Number
- 1437294295
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2007 (19.513052366052 yrs)
- Last Updated
- Nov 18, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
1401 S 13TH STOZARK, MO, 657218096Browse MO providers · Browse ZIP 65721
- Phone
- 4172394368
- Fax
- 3345131784
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Social Worker
- Additional Specialty
- Case Manager
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.