Individual
MR. KENDRICK DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 ELMER AVE, BATON ROUGE, LA 70807-3542
(480) 650-2447
Mailing address
444 ELMER AVE, BATON ROUGE, LA 70807-3542
(480) 650-2447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
02/19/2016
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