Individual
WALTER CLAYTON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
6 TOMAHAWK TRL, LAKE HOPATCONG, NJ 07849-1024
(314) 607-0426
Mailing address
6 TOMAHAWK TRL, LAKE HOPATCONG, NJ 07849-1024
(314) 607-0426
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00648300
NJ
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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