Individual
JOHN BRADLEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
110 E MOUNTCASTLE DR STE A, JOHNSON CITY, TN 37601-2539
(423) 516-9018
Mailing address
110 E MOUNTCASTLE DR STE A, JOHNSON CITY, TN 37601-2539
(423) 516-9018
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3925
TN
Other
Enumeration date
05/21/2013
Last updated
09/24/2021
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