Individual
KATRINA FAYE DAVIS-PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
497 WAUKONDA AVE, BENTON HARBOR, MI 49022-3142
(269) 282-7122
(269) 926-1423
Mailing address
497 WAUKONDA AVE, BENTON HARBOR, MI 49022-3142
(269) 282-7122
(269) 926-1423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
Other
Enumeration date
12/15/2022
Last updated
12/20/2022
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