Individual
MELONIE DEON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
117 E KINGS HWY, EDEN, NC 27288-5201
(336) 623-9711
(336) 635-6864
Mailing address
117 E KINGS HWY, EDEN, NC 27288-5201
(336) 623-9711
(336) 635-6864
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13461
NC
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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