Individual
JOHN AVERY DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, CAP
Contact information
Practice address
4237 SALISBURY RD, SUITE 308, JACKSONVILLE, FL 32216-8029
(904) 353-2949
(904) 374-6590
Mailing address
4237 SALISBURY RD, SUITE 308, JACKSONVILLE, FL 32216-8029
(904) 353-2949
(904) 374-6590
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH13650
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
5590
FL
101YM0800X
Mental Health Counselor
MH13650
FL
101YP2500X
Professional Counselor
Primary
MH13650
FL
101YS0200X
School Counselor
MH13650
FL
146L00000X
Paramedic
PMD509652
FL
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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