Individual
MS. AMY M. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
617 E JEFFERSON ST, MORRIS, IL 60450-2310
(815) 941-0218
Mailing address
617 E JEFFERSON ST, MORRIS, IL 60450-2310
(815) 941-0218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180005999
IL
101YP2500X
Professional Counselor
Primary
180005999
IL
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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