Individual
ERICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
120 S RANDOLPH AVE, ELKINS, WV 26241-3715
(304) 642-2418
Mailing address
216 MAPLE LN, ELKINS, WV 26241-7275
(304) 642-2418
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BP00945012
WV
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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