Individual
LAWONDA MANETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
13 RUNNING WATERS CT, WELDON SPRING, MO 63304-2413
(636) 699-0636
Mailing address
13 RUNNING WATERS CT, WELDON SPRING, MO 63304-2413
(636) 699-0636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2020037394
MO
101YP2500X
Professional Counselor
11637
OK
101YP2500X
Professional Counselor
Primary
2020037394
MO
Other
Enumeration date
08/06/2018
Last updated
10/09/2024
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