Individual
SHAMEKA LATOYA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS MA LCAS-A
Contact information
Practice address
7417 KNIGHTDALE BLVD UNIT 101, KNIGHTDALE, NC 27545
(919) 261-8566
(919) 261-8569
Mailing address
7417 KNIGHTDALE BLVD UNIT 101, KNIGHTDALE, NC 27545
(919) 261-8566
(919) 261-8569
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3458-A
NC
101YM0800X
Mental Health Counselor
—
NC
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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