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Individual

MR. CHARLES ANDRE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC-LP

Contact information

Practice address
1211 PUTNAM AVE, BROOKLYN, NY 11221-4909
(347) 240-6099
(347) 265-9547
Mailing address
1211 PUTNAM AVE, BROOKLYN, NY 11221-4909
(347) 240-6099
(347) 265-9547

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/31/2013
Last updated
12/31/2013
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