Individual
ELLOREE MONTRISA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2608 HEATHER GLEN LN, CHARLOTTE, NC 28208-2576
(704) 905-4895
Mailing address
2608 HEATHER GLEN LN, CHARLOTTE, NC 28208-2576
(704) 905-4895
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
SC
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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