Individual
ASHTON GWYNETH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,B.S.
Contact information
Practice address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 824-0342
Mailing address
105 RHEMANN BLVD, RICHLAND, MS 39218-6044
(601) 506-7991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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