Individual
MR. SAMUEL C DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAED, LPC
Contact information
Practice address
29086 JORDAN POND DR, ALBEMARLE, NC 28001-6419
(704) 982-1266
Mailing address
29086 JORDAN POND DR, ALBEMARLE, NC 28001-6419
(704) 982-1266
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2642
NC
101YM0800X
Mental Health Counselor
2642
NC
101YP2500X
Professional Counselor
2642
NC
101YS0200X
School Counselor
Primary
2642
NC
Other
Enumeration date
01/21/2008
Last updated
06/15/2010
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