Individual
MR. DAVID BROCK DAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P-LPC
Contact information
Practice address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 473-2106
Mailing address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(769) 234-4979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
10/22/2021
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