Individual
JESSICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
570 CLINTON ST, DETROIT, MI 48226-2334
(313) 967-3711
Mailing address
778 COLUMBIA AVE W, BATTLE CREEK, MI 49015-3028
(269) 965-3247
(269) 966-4135
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451020861
MI
103TC1900X
Counseling Psychologist
6362002944
MI
Other
Enumeration date
06/18/2019
Last updated
03/28/2024
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