Individual
MS. JENNIFER ELLEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
4150 BRENMAR LN, DURHAM, NC 27713-8172
(919) 660-6742
Mailing address
4150 BRENMAR LN, DURHAM, NC 27713-8172
(919) 660-6742
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3606
NC
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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