Individual
MR. DYLAN ROSS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
714 S LAKE DR STE 120, LEXINGTON, SC 29072-3473
(803) 520-8295
Mailing address
2215 OLD CHEROKEE RD, LEXINGTON, SC 29072-9726
(864) 985-2585
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6692
SC
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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