Individual
JASON WADE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
32 DEVONSHIRE DR, BELLA VISTA, AR 72715-7512
(918) 961-0130
Mailing address
32 DEVONSHIRE DR, BELLA VISTA, AR 72715-7512
(918) 961-0130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12551-C
AR
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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