Individual
JENNIFER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7701 S ZERO ST, FORT SMITH, AR 72903-6644
(479) 478-5622
(501) 222-6117
Mailing address
PO BOX 11495, FORT SMITH, AR 72917-1495
(479) 478-5622
(501) 222-6117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1810144
AR
Other
Enumeration date
02/01/2016
Last updated
03/09/2020
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