Individual
TAWNYA RENEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
426 EMERSON AVE, BONNER SPRINGS, KS 66012-1904
(913) 543-1150
Mailing address
126 ELM ST, BONNER SPRINGS, KS 66012-1021
(541) 221-8262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
03702
KS
101YP2500X
Professional Counselor
C7078
OR
Other
Enumeration date
11/18/2011
Last updated
10/09/2024
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