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Individual
WILLOUGH DAVIS
Active
Individual
WILLOUGH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
16145
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-26593
NC
101YM0800X
Mental Health Counselor
16145
NC
101YP2500X
Professional Counselor
Primary
16145
NC
Other
Enumeration date
06/01/2020
Last updated
06/14/2024
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