Individual
RANDOLPH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4480 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70131-6941
(504) 905-6945
Mailing address
4480 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70131-6941
(504) 905-6945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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