Individual
DR. AMANDA VICTORIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPC, LPC
Contact information
Practice address
633 E FERNHURST DR STE 1304, KATY, TX 77450-1590
(281) 503-1553
Mailing address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2400
(601) 321-2476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
84301
TX
101YM0800X
Mental Health Counselor
PH3036
MS
Other
Enumeration date
11/17/2014
Last updated
07/05/2022
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