Individual
MR. JOEL BRUCE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
555 W HARTSDALE AVE, HARTSDALE, NY 10530-1009
(914) 948-8333
Mailing address
300 MARTINE AVE, APT. 3E, WHITE PLAINS, NY 10601-3459
(914) 949-2764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009855
MI
Other
Enumeration date
07/05/2013
Last updated
08/16/2013
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