Individual
MOLLY ALYSSA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-A, LCAS
Contact information
Practice address
2670 DURHAM CHAPEL HILL BLVD, DURHAM, NC 27707-2829
(919) 330-0593
Mailing address
2670 DURHAM CHAPEL HILL BLVD, DURHAM, NC 27707-2829
(919) 330-0593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29918
NC
1041C0700X
Clinical Social Worker
P020752
NC
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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