Individual
JOHNNY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
400 HARDIN RD STE 150, LITTLE ROCK, AR 72211-3507
(501) 603-2147
(501) 603-0324
Mailing address
1310 WEST MAIN STREET, SUITE 201, RUSSELLVILLE, AR 72801
(479) 968-2001
(479) 964-2075
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2208005
AR
Other
Enumeration date
12/17/2019
Last updated
09/29/2022
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