Organization
NORTH STAR COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRADLEY DAVIS LPC-MHSP (MANAGING MEMBER)
(423) 516-9018
Entity
Organization
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
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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