Individual
JOHN THOMAS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108
(505) 265-1711
(774) 441-6284
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
119237
MA
1041C0700X
Clinical Social Worker
Primary
C-05771
NM
Other
Enumeration date
08/22/2018
Last updated
03/31/2026
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