Individual
MARIA M DAVIDIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1310 PINE LOG RD, SUITE A, AIKEN, SC 29803-7890
(803) 649-1866
(803) 649-1868
Mailing address
1310 PINE LOG RD, SUITE A, AIKEN, SC 29803-7890
(803) 649-1866
(803) 649-1868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1397
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0853
—
SC
Enumeration date
11/21/2006
Last updated
07/08/2007
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