Individual
DR. MARISA YVETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1131 QUEENSBOROUGH BLVD STE 100, MOUNT PLEASANT, SC 29464-5430
(919) 924-3969
Mailing address
3930 WESTCLIFF RD APT 1038, GRAND PRAIRIE, TX 75052-3174
(919) 924-3969
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7161
SC
101YS0200X
School Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2016
Last updated
09/29/2023
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