Individual
DONALD BERKELEY DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
3460 S FEDERAL BLVD, SHERIDAN, CO 80110-1967
(303) 761-0200
Mailing address
PO BOX 919, AURORA, CO 80040-0919
(303) 761-0200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC.0016610
CO
101YP2500X
Professional Counselor
Primary
LPC.0017563
CO
Other
Enumeration date
02/14/2020
Last updated
09/26/2021
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