Individual
MICHAEL JAMES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1200 NW SOUTH OUTER RD STE 306, BLUE SPRINGS, MO 64015-3059
(816) 379-3007
(816) 379-3745
Mailing address
301 CONCORD CIR, GRAIN VALLEY, MO 64029-9719
(816) 824-1989
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012040750
MO
Other
Enumeration date
02/19/2013
Last updated
11/28/2025
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