Individual
MRS. JESSICA FORYS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, LCAS-A
Contact information
Practice address
1200 NATURE DR APT 2G, JACKSONVILLE, NC 28546-6989
(631) 786-4392
Mailing address
1200 NATURE DR APT 2G, JACKSONVILLE, NC 28546-6989
(631) 786-4392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-28779
NC
101YM0800X
Mental Health Counselor
Primary
18287
NC
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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