Individual
JENNIFER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
925 COUNTRY CLUB RD, ARGYLE, TX 76226
(940) 367-5458
Mailing address
1410 FEATHER CREST DR, KRUM, TX 76249-7535
(940) 367-5458
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
64143
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
64143
TX
101YM0800X
Mental Health Counselor
64143
TX
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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