Individual
MRS. CHRISTINE ADELE COULTER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(707) 318-5245
Mailing address
1303 COTE SANS DESSEIN RD, FULTON, MO 65251-1353
(707) 318-5245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
2023046780
MO
Other
Enumeration date
07/05/2012
Last updated
11/29/2023
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