Individual
GERINA JADE' DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, MMFT, MACM
Contact information
Practice address
176 CARLTON AVE FL 2, BROOKLYN, NY 11205-3207
(917) 202-5225
Mailing address
176 CARLTON AVE FL 2, BROOKLYN, NY 11205-3207
(917) 202-5225
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
001969
NY
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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