Individual
CAROLYN ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CCDP-D
Contact information
Practice address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-8022
(337) 475-8054
Mailing address
3508 RACHEL DR, P.O. BOX 3129, SULPHUR, LA 70663-0377
(337) 528-2624
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3475
LA
Other
Enumeration date
02/01/2007
Last updated
06/04/2009
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