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Organization

INNOVATIONS COUNSELING AND CONSULTING SERVICES PLLC

Active
Other names
Carmen Davis, Carmen Davis
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARMEN DAVIS PH.D (OWNER AND CLINICIAN)
(360) 339-3838
Entity
Organization

Contact information

Practice address
1905 J N PEASE PL STE 202, CHARLOTTE, NC 28262-4539
(360) 339-3838
(704) 981-9567
Mailing address
1905 J N PEASE PL STE 202, CHARLOTTE, NC 28262-4539
(360) 339-3838

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
03/21/2023
Last updated
01/08/2024
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