Individual
MRS. GLORIA FENNER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 N GRACE ST, SUITE 228, ROCKY MOUNT, NC 27804-5345
(252) 908-4120
Mailing address
PO BOX 2031, ROCKY MOUNT, NC 27802-2031
(252) 908-4120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4321
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103387
—
NC
Enumeration date
02/22/2007
Last updated
01/15/2014
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