Individual
PROF. MICHAEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, BCPC
Contact information
Practice address
249 MAIN ST, WEST ORANGE, NJ 07052-5868
(609) 379-0386
Mailing address
249 MAIN ST, WEST ORANGE, NJ 07052-5868
(609) 379-0386
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00245300
NJ
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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