Individual
FAYESHON DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, QMHP-A, QMHP-C
Contact information
Practice address
4318 OLD HUNDRED RD STE C, CHESTER, VA 23831-4231
(804) 479-1677
Mailing address
14112 ELKINGTON DR, CHESTER, VA 23836-5752
(804) 479-1677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732005478
VA
Other
Enumeration date
05/23/2019
Last updated
11/27/2023
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