Individual
CODY W DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
5 W MOUNTAIN ST STE 305, FAYETTEVILLE, AR 72701-6068
(479) 453-6287
(479) 228-5216
Mailing address
12020 DELANEY CT, FARMINGTON, AR 72730-0009
(479) 453-6287
(479) 228-5216
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1511126
AR
Other
Enumeration date
01/27/2012
Last updated
08/11/2025
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