Individual
CARRIE S. DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8888 JEFFERSON HWY STE B, BATON ROUGE, LA 70809-2427
(318) 242-8051
Mailing address
5635 MAIN ST STE A272, ZACHARY, LA 70791-4083
(225) 301-2674
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6503
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
6503
LA
101YM0800X
Mental Health Counselor
6503
LA
101YP2500X
Professional Counselor
Primary
6503
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376915942
—
LA
Enumeration date
10/22/2015
Last updated
07/20/2023
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