Individual
MARY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
101 BUFORD RD, SUITE 110, N. CHESTERFIELD, VA 23235
(804) 447-6382
(804) 447-6383
Mailing address
101 BUFORD RD, SUITE 110, N. CHESTERFIELD, VA 23235
(804) 447-6382
(804) 447-6383
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006932
VA
Other
Enumeration date
02/16/2017
Last updated
07/21/2022
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