Individual
KEVIN EDWARD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
750 NJ-73, SUITE 210, EVESHAM, NJ 08053
(856) 399-1010
Mailing address
1111 PARK DR, CHERRY HILL, NJ 08002-3754
(609) 780-7082
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00825900
NJ
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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