Individual
MR. ANTHONY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., L.P.C.
Contact information
Practice address
198 BELLEGROVE CIR, BRANDON, MS 39047
(601) 201-7639
Mailing address
198 BELLEGROVE CIR, BRANDON, MS 39047-6629
(601) 201-7639
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1863
MS
Other
Enumeration date
05/27/2014
Last updated
03/30/2019
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