Individual
ADRIENNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
5 CARROLL AVE, PENNSVILLE, NJ 08070-2129
(856) 209-3799
Mailing address
3 LAFITE CT, WEST DEPTFORD, NJ 08096-5742
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00760300
NJ
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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