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Organization
KENYONA DAVIS, LLC
Active
Organization
KENYONA DAVIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENYONA DAVIS LMSW (CEO)
(202) 729-0018
Entity
Organization
Contact information
Practice address
3600 PULASKI HWY, BALTIMORE, MD 21224-1534
(202) 729-0018
Mailing address
4968 DOGWOOD ST, SHADY SIDE, MD 20764-9659
(202) 729-0018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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