Individual
ELISE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1350 DOUGLAS DR N APT 111, GOLDEN VALLEY, MN 55422-4337
(612) 405-9307
Mailing address
1350 DOUGLAS DR N APT 111, GOLDEN VALLEY, MN 55422-4337
(612) 405-9307
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC01642
MN
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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