Individual
LARRY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5306 FOREST PARK LN, NEW ORLEANS, LA 70131-8582
(504) 201-7149
Mailing address
5306 FOREST PARK LN, NEW ORLEANS, LA 70131-8582
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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