Individual
SHANNON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7041 ROLLING MEADOW LOOP, BENTON, AR 72015-8401
(501) 722-3362
Mailing address
7041 ROLLING MEADOW LOOP, BENTON, AR 72015-8401
(501) 722-3362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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