Individual
MRS. DANYELLE ANTIONETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, BCTMH
Contact information
Practice address
100 W DEAN KEETON ST, AUSTIN, TX 78712-1091
(512) 471-3515
Mailing address
100 W DEAN KEETON ST, AUSTIN, TX 78712-1091
(512) 471-3515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2228
MS
101YM0800X
Mental Health Counselor
86313
TX
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05279542
—
MS
01
—
2228
LPC
MS
Enumeration date
08/03/2015
Last updated
12/14/2022
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