Individual
MRS. STACIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
289 INDEPENDENCE BLVD, SUITE 245, VIRGINIA BEACH, VA 23462-5493
(757) 385-0850
(757) 518-9713
Mailing address
289 INDEPENDENCE BLVD, SUITE 245, VIRGINIA BEACH, VA 23462-5493
(757) 385-0850
(757) 518-9713
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701003776
VA
Other
Enumeration date
10/27/2006
Last updated
03/13/2008
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