Individual
JAMES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPC
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001
(307) 634-9653
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 426-4728
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/05/2017
Last updated
06/08/2018
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