Individual
LAURA C DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC, LADC
Contact information
Practice address
680 STEWART AVE, SAINT PAUL, MN 55102-4117
(651) 292-2412
Mailing address
680 STEWART AVE, SAINT PAUL, MN 55102-4117
(651) 292-2412
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301702
MN
101YM0800X
Mental Health Counselor
CC00511
MN
Other
Enumeration date
12/27/2017
Last updated
11/19/2025
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