Individual
AMANDA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMHC, NCC
Contact information
Practice address
17 N. JEFFERSON ST., KNIGHTSTOWN, IN 46148-1258
(317) 395-8322
Mailing address
17 N. JEFFERSON ST., KNIGHTSTOWN, IN 46148-1258
(317) 395-8322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39005013A
IN
Other
Enumeration date
05/02/2022
Last updated
07/16/2024
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