Individual
MS. ATHENA J. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
5412 GLENSIDE DR STE F, HENRICO, VA 23228-3995
(804) 282-5880
(804) 288-2029
Mailing address
5412 GLENSIDE DR STE F, HENRICO, VA 23228-3995
(804) 282-5880
(804) 288-2029
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004318
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306859988
—
VA
Enumeration date
05/02/2012
Last updated
05/02/2012
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