Individual
MISS MELISSA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
308 CLAIREMONT AVE, DECATUR, GA 30030-2506
(404) 308-8548
Mailing address
308 CLAIREMONT AVE, DECATUR, GA 30030-2506
(404) 308-8548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006758
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669727996
ORGANIZATION
—
Enumeration date
05/13/2019
Last updated
05/13/2019
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