Individual
JEREMY RISHARD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ALC
Contact information
Practice address
224 1ST ST N STE 250, ALABASTER, AL 35007-9071
(205) 876-8512
Mailing address
8254 COUNTY ROAD 64 UNIT 1003, DAPHNE, AL 36526-8717
(251) 300-9525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04471
AL
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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