Organization
MARK DAVIS, LMHP, LPC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DAVIS LMHP, LPC (PRESIDENT)
(402) 440-7884
Entity
Organization
Contact information
Practice address
4830 S 69TH ST, LINCOLN, NE 68516-1501
(402) 440-7884
Mailing address
4830 S 69TH ST, LINCOLN, NE 68516-1501
(402) 440-7884
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1302
NE
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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