Individual
CASONJA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC, NCC
Contact information
Practice address
505 S CHURCH ST, ASHEBORO, NC 27203-5673
(910) 473-0685
(336) 625-6113
Mailing address
15 IVYGLEN CT, GREENSBORO, NC 27406-9287
(910) 473-0685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
318704
NC
101YP2500X
Professional Counselor
Primary
10295
NC
Other
Enumeration date
11/14/2013
Last updated
03/13/2023
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