Individual
MR. AUSTIN DALE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
833 SEQUOIA WAY, SAGINAW, TX 76131-3557
(817) 714-1311
Mailing address
833 SEQUOIA WAY, SAGINAW, TX 76131-3557
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
66123
TX
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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