Individual
MS. JANICE DENISE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, ED.S
Contact information
Practice address
600 CRAWFORD ST, PORTSMOUTH, VA 23704-3820
(678) 778-4342
Mailing address
PO BOX 5705, VIRGINIA BEACH, VA 23471-0705
(678) 778-4342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
005840
GA
101YM0800X
Mental Health Counselor
0701006394
VA
101YP2500X
Professional Counselor
005840
GA
101YP2500X
Professional Counselor
Primary
0701006394
VA
101YP2500X
Professional Counselor
9474
NC
Other
Enumeration date
07/08/2012
Last updated
11/22/2021
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