Individual
BENNAE EMON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
54 MALBONE RD, NEWPORT, RI 02840-1746
(404) 838-8770
Mailing address
PO BOX 4321, MIDDLETOWN, RI 02842-0321
(404) 838-8770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178-017645
IL
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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