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Individual
JAMES RYAN DAVIDSON
Active
Individual
JAMES RYAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6565
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305099
ANTHEM
VA
01
—
5782627
AETNA
VA
01
—
O83259M
SENTARA HEALTH MANAGEMENT
—
Enumeration date
06/12/2007
Last updated
06/30/2008
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