Individual
JAMES DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6827 W CARTER RD, LAVEEN, AZ 85339-7051
(602) 751-3823
Mailing address
6827 W CARTER RD, LAVEEN, AZ 85339-7051
(602) 751-3823
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
AZ
101YP1600X
Pastoral Counselor
Primary
1846529
MD
101YP2500X
Professional Counselor
—
GA
101YS0200X
School Counselor
—
AZ
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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