Individual
KAREN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1722 S GLENSTONE AVE STE TT, SPRINGFIELD, MO 65804-1517
(417) 881-2848
Mailing address
3661 S FRANKLIN AVE, SPRINGFIELD, MO 65807-4441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001014539
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151899
BLUE CROSS BLUE SHIELD
MO
Enumeration date
11/30/2006
Last updated
07/08/2007
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