Individual
ELYSHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
704 LINCOLN AVE, DELMAR, DE 19940-1344
(302) 217-3926
Mailing address
704 LINCOLN AVE, DELMAR, DE 19940-1344
(302) 258-5388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
PC-0011585
DE
Other
Enumeration date
08/15/2021
Last updated
09/06/2024
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