Individual
DR. BRIAN EARL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.DIV., PH.D.
Contact information
Practice address
8600 ACADEMY RD NE, ALBUQUERQUE, NM 87111-1107
(505) 821-3628
Mailing address
8600 ACADEMY RD NE, ALBUQUERQUE, NM 87111-1107
(505) 821-3628
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0150051
NM
Other
Enumeration date
10/31/2006
Last updated
09/28/2018
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