Individual
JOELY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3401 45TH ST S STE A, FARGO, ND 58104-8970
(701) 356-4384
Mailing address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 356-4384
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
09/12/2018
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