Individual
JESSICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2350 WASHTENAW AVE STE 4, ANN ARBOR, MI 48104-4525
(734) 645-8944
Mailing address
2350 WASHTENAW AVE STE 4, ANN ARBOR, MI 48104-4525
(734) 645-8944
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017944
MI
Other
Enumeration date
06/19/2019
Last updated
12/03/2019
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