Individual
COREEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
505 YORK RD, UNIT 4, JENKINTOWN, PA 19046-2136
(267) 626-2018
(267) 636-5205
Mailing address
505 YORK RD, UNIT 4, JENKINTOWN, PA 19046-2136
(267) 626-2018
(267) 636-5205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004305
PA
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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