Individual
MRS. ANGELA DENISE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1129 HOSPITAL DR, SUITE 1A, STOCKBRIDGE, GA 30281-6393
(770) 474-2600
(770) 474-2607
Mailing address
1129 HOSPITAL DRIVE, SUITE 1A, STOCKBRIDGE, GA 30281
(770) 474-2600
(770) 474-2607
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC007573
GA
101YM0800X
Mental Health Counselor
LPC007573
GA
101YP2500X
Professional Counselor
Primary
LPC007573
GA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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