Individual
TAMARA SIMPSON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, NCC
Contact information
Practice address
904 DEVILLE LN, RUSTON, LA 71270-6313
(318) 465-1234
(318) 868-0638
Mailing address
904 DEVILLE LN, RUSTON, LA 71270-6313
(318) 465-1234
(318) 868-0638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4403
LA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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