Individual
RACHEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CCS, LAC
Contact information
Practice address
411 E MULBERRY ST, AMITE, LA 70422-2527
(225) 252-2212
(225) 751-6302
Mailing address
5524 S AFTON PKWY, BATON ROUGE, LA 70806-3542
(225) 252-2212
(225) 751-6302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8468
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009
LAC
LA
01
—
111
CERTIFIED CLINICAL SUPERVISOR
LA
05
—
600551753
—
LA
01
—
8468
GSW
LA
Enumeration date
04/02/2008
Last updated
10/29/2013
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