Individual
DR. CARMEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, LCMHCS, NCC
Contact information
Practice address
1905 J N PEASE PL STE 202, CHARLOTTE, NC 28262-4539
(360) 339-3838
(704) 981-9567
Mailing address
5318 SILCHESTER LN, CHARLOTTE, NC 28215-5302
(360) 339-3838
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3527
NC
101YM0800X
Mental Health Counselor
3527
NC
101YP2500X
Professional Counselor
Primary
3527
NC
251B00000X
Case Management Agency
3527
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102558
—
NC
Enumeration date
07/01/2009
Last updated
01/08/2024
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