Individual
ISHUAL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7244 CASTOR AVE # 1114, PHILADELPHIA, PA 19149-1109
(215) 402-7103
Mailing address
7244 CASTOR AVE # 1114, PHILADELPHIA, PA 19149-1109
(215) 402-7103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
PA
Other
Enumeration date
09/28/2015
Last updated
03/24/2026
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