Individual
BERTRAM DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 RIVERSIDE DR, BASSETT, VA 24055-4299
(336) 280-0595
Mailing address
8033 SUMMIT PARK DR, PFAFFTOWN, NC 27040-9840
(336) 618-2125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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