Individual
JUSTIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
245 FOUNTAIN CT STE 225, LEXINGTON, KY 40509-1888
(859) 323-6021
(859) 323-1670
Mailing address
1589 HILL RISE DR, LEXINGTON, KY 40504-2588
(859) 977-2529
(859) 233-9231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
239987
KY
101YP2500X
Professional Counselor
Primary
268678
KY
Other
Enumeration date
05/17/2018
Last updated
10/29/2021
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