Provider Demographics
NPI:1487291373
Name:KESSELL, TRAVIS STEVEN (LPC)
Entity type:Individual
Prefix:
First Name:TRAVIS
Middle Name:STEVEN
Last Name:KESSELL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 S MAIN ST STE 603
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3703
Mailing Address - Country:US
Mailing Address - Phone:540-441-0222
Mailing Address - Fax:
Practice Address - Street 1:57 S MAIN ST STE 603
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3703
Practice Address - Country:US
Practice Address - Phone:540-441-0222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-10
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010691101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional