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Individual

MECHELLE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6015 HEARNE AVE, SHREVEPORT, LA 71108-3803
(318) 213-0904
(318) 213-0905
Mailing address
4812 GREEN FOREST CIR, SHREVEPORT, LA 71118-2849
(318) 210-7119

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8081
LA
101YP2500X
Professional Counselor
8081
LA

Other

Enumeration date
09/30/2015
Last updated
11/01/2024
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