Individual
GLENDA JOYCE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
4257 N GABEL DR STE 2B, FAYETTEVILLE, AR 72703-5038
(479) 738-7059
(799) 354-5734
Mailing address
PO BOX 3381, FAYETTEVILLE, AR 72702-3381
(479) 738-7059
(479) 935-4573
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1003023
AR
101YP2500X
Professional Counselor
P1003023
AR
Other
Enumeration date
02/25/2008
Last updated
02/26/2019
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