Individual
DR. PENNY J. DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
600 E FAIRVIEW LN, SUITE D, ESPANOLA, NM 87532-2816
(505) 753-6260
(505) 753-6260
Mailing address
PO BOX 1202, SANTA CRUZ, NM 87567-1202
(505) 753-6260
(505) 753-6260
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC #0503
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1037113
CIGNA BEHAVIORAL HEALTH
NM
05
—
B9533
—
NM
01
—
NM100145
VALUE OPTIONS
NM
Enumeration date
10/02/2006
Last updated
07/08/2007
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