Individual
NATALIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8409 NW 159TH ST, EDMOND, OK 73013-5982
(405) 830-1791
Mailing address
8409 NW 159TH ST, EDMOND, OK 73013-5982
(405) 830-1791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/29/2014
Last updated
09/02/2024
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