Individual
TOM DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
903 LAKEVIEW RDG, DADEVILLE, AL 36853-5871
(205) 907-3745
Mailing address
903 LAKEVIEW RDG, DADEVILLE, AL 36853-5871
(205) 907-3745
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3039
AL
Other
Enumeration date
10/29/2018
Last updated
06/11/2019
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