Organization
LIFELINE COUNSELING CENTER LLC
Active
Other names
James W. & Nancy L. Davidson
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WILSON DAVIDSON PH.D. (DIRECTOR)
(440) 942-0100
Entity
Organization
Contact information
Practice address
4212 STATE ROUTE 306, SUITE 306, WILLOUGHBY, OH 44094-9258
(440) 942-0100
(877) 581-3908
Mailing address
4212 STATE ROUTE 306, SUITE 306, WILLOUGHBY, OH 44094-9258
(440) 942-0100
(877) 581-3908
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2071
OH
Other
Enumeration date
07/17/2006
Last updated
10/09/2011
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