Individual
ANGELA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
1615 JOHNSON ST STE C, JENNINGS, LA 70546-3650
(337) 616-0225
Mailing address
1615 JOHNSON ST STE C, JENNINGS, LA 70546-3650
(337) 616-0225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
05/08/2018
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