Individual
MARY BETH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
501 SILVERSIDE RD STE 67, WILMINGTON, DE 19809-1394
(302) 689-3836
Mailing address
501 SILVERSIDE RD STE 67, WILMINGTON, DE 19809-1394
(302) 689-3836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
20853
NC
101YM0800X
Mental Health Counselor
37PC00935900
NJ
101YM0800X
Mental Health Counselor
Primary
PC-0011181
DE
101YM0800X
Mental Health Counselor
PC-012433
PA
Other
Enumeration date
09/19/2023
Last updated
12/26/2024
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