Individual
JAMES RYAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2202 EXECUTIVE DR, STE C, HAMPTON, VA 23666-6604
(757) 827-7707
Mailing address
2202 EXECUTIVE DR, STE C, HAMPTON, VA 23666-6604
(757) 827-7707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6565
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305099
ANTHEM
VA
01
—
5782627
AETNA
VA
01
—
O83259M
SENTARA HEALTH MANAGEMENT
—
Enumeration date
06/12/2007
Last updated
06/30/2008
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