Individual
BILLY DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
Mailing address
602 SW 38TH ST, LAWTON, OK 73505-6912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/20/2015
Last updated
06/29/2022
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