Individual
ELISE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 S WHITE ST, WAKE FOREST, NC 27587-2920
(910) 224-1990
Mailing address
1415 WYLIE WAY, WAKE FOREST, NC 27587-7953
(910) 224-1990
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/22/2013
Last updated
05/06/2026
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