Individual
DARLENE LANELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1414 GOLDEN SPRINGS RD # 62, ANNISTON, AL 36207-6924
(256) 591-6229
Mailing address
1414 GOLDEN SPRINGS RD # 62, ANNISTON, AL 36207-6924
(256) 591-6229
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
586
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
339061132
TALLADEGA COUNTY
AL
01
—
63-1091950
IRS TAXPAYER IDENTIFICATION NUMBER
AL
Enumeration date
01/03/2008
Last updated
10/02/2014
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