Individual
MRS. STACEY A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
615 S MAIN ST, PLAINWELL, MI 49080-1644
(269) 216-1787
Mailing address
615 S MAIN ST, PLAINWELL, MI 49080-1644
(269) 216-1788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401009811
MI
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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