Individual
AVERY L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
950 WADSWORTH BLVD STE 201, LAKEWOOD, CO 80214-4542
(720) 440-2080
(720) 664-2162
Mailing address
3531 S LOGAN ST STE D, ENGLEWOOD, CO 80113-3700
(720) 440-2080
(719) 269-9386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0011413
CO
Other
Enumeration date
11/10/2009
Last updated
05/21/2021
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