Individual
VICTORIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA , MS, LPC, LBSW
Contact information
Practice address
6500 S PADRE ISLAND DR, 2, CORPUS CHRISTI, TX 78412-4065
(361) 853-0091
(361) 853-2502
Mailing address
6500 S PADRE ISLAND DR, 2, CORPUS CHRISTI, TX 78412-4065
(361) 853-0091
(361) 853-2502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143058902
—
TX
Enumeration date
05/05/2006
Last updated
07/10/2013
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