Individual
JESSICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
QMHS
—
251B00000X
Case Management Agency
Primary
CMS
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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