Individual
MS. THERESA RENEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5130 S PECOS RD, SUITE 2B, LAS VEGAS, NV 89120-1248
(702) 560-5973
Mailing address
9764 GALAHAD POINT CT, LAS VEGAS, NV 89147-8065
(702) 580-5991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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