Individual
JESSICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 S HIGH STREET, PRATT, KS 67124-8754
(620) 388-1356
Mailing address
PO BOX 8754, PRATT, KS 67124-8754
(620) 388-1356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2740
KS
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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