Individual
SIERRA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PCMHT
Contact information
Practice address
101 CUNNINGHAM DR, RIPLEY, MS 38663-1302
(662) 837-3011
Mailing address
640 COUNTY ROAD 710, BLUE MOUNTAIN, MS 38610-9550
(662) 388-1663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
459
ISSUER NUMBER
—
Enumeration date
10/10/2022
Last updated
10/10/2022
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