Individual
JEFFREY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7703 N LAMAR BLVD STE 500, AUSTIN, TX 78752-1055
(512) 302-1000
Mailing address
3600 N HILLS DR APT 124, AUSTIN, TX 78731-3002
(702) 480-5595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
78389
TX
Other
Enumeration date
11/27/2021
Last updated
11/27/2021
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