Individual
CLARISSA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 N LOCUST AVE, LAWRENCEBURG, TN 38464-3757
(931) 762-7232
Mailing address
11373 COCOA BEACH DR, RIVERVIEW, FL 33569-2951
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
21504
NC
101YM0800X
Mental Health Counselor
6801
TN
101YM0800X
Mental Health Counselor
MH18473
FL
101YP2500X
Professional Counselor
Primary
3318
MS
Other
Enumeration date
01/17/2018
Last updated
07/08/2025
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