Individual
RAYELLE TIANNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
118 VALLEY ST, CUMBERLAND, MD 21502-2141
(301) 722-5500
Mailing address
PO BOX 394, ELLERSLIE, MD 21529-0394
(240) 727-1700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP7939
MD
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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