Individual
COURTNAY HEAVNER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1110 MONTGOMERY AVE, STAUNTON, VA 24401-3968
(540) 213-0450
(540) 213-0456
Mailing address
1110 MONTGOMERY AVE, STAUNTON, VA 24401-3968
(540) 213-0450
(540) 213-0456
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
0701005120
VA
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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