IndividualActive
Adrian Vanburen-Travis, PCMHT
NPI 1467802140 · Mental Health Counselor · Jackson, MS
Provider details
- NPI number
- 1467802140
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- PCMHT
- Sex
- Female
- Sole proprietor
- No
- License
- 3767 (MS)
Practice location
3450 Highway 80 W
Jackson, MS 39209-7201
Phone: (601) 321-2497
Fax: (601) 321-2476
Mailing address
3450 Highway 80 W
Jackson, MS 39209-7201
Registry dates
- Enumerated
- 2016-06-14
- Last updated
- 2016-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.