Individual
JENNIFER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCAP
Contact information
Practice address
2242 BURTON ISLAND WAY, JACKSONVILLE, FL 32218-0007
(757) 646-7868
Mailing address
2242 BURTON ISLAND WAY, JACKSONVILLE, FL 32218-0007
(757) 646-7868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MCAP1000607
FL
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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