Individual
CHRISTINA MACHELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P-LPC, M.S.
Contact information
Practice address
2352 E PASS RD, GULFPORT, MS 39507-3805
(228) 284-2337
(228) 284-2337
Mailing address
346 CARTER RD, BILOXI, MS 39531-2804
(228) 243-3421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-0584
MS
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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