Individual
MARY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
206 HAMILTON AVE STE 8, BREMEN, GA 30110-1681
(762) 290-5011
Mailing address
206 HAMILTON AVE STE 8, BREMEN, GA 30110-1681
(762) 290-5011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0011029
GA
101Y00000X
Counselor
11029
GA
101Y00000X
Counselor
APC005428
GA
Other
Enumeration date
02/04/2018
Last updated
07/25/2025
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