Individual
DR. THOMAS DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0082561
NM
101YP2500X
Professional Counselor
0158731
NM
101YP2500X
Professional Counselor
Primary
5752
LA
Other
Enumeration date
04/22/2013
Last updated
10/10/2013
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