Individual
CHRISTIAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA, LCAS
Contact information
Practice address
103 COURRONE CT, WILLOW SPRING, NC 27592-3310
(252) 813-7475
Mailing address
103 COURRONE CT, WILLOW SPRING, NC 27592-3310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
104100000X
Social Worker
Primary
—
NC
225800000X
Recreation Therapist
—
NC
Other
Enumeration date
09/07/2021
Last updated
05/31/2023
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