Individual
JESSICA HEATHER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
450 E 96TH ST STE 500, INDIANAPOLIS, IN 46240-3760
(317) 680-8009
(317) 561-9006
Mailing address
8150 E 550 S, ZIONSVILLE, IN 46077-8608
(765) 650-8380
(317) 561-9006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
39003577A
IN
101YP2500X
Professional Counselor
39003577A
IN
Other
Enumeration date
01/26/2018
Last updated
08/23/2022
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