Individual
JEANNE-ALYCE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
3600 JACKSON ST STE 119, ALEXANDRIA, LA 71303-3096
(318) 625-7050
Mailing address
3600 JACKSON ST STE 119, ALEXANDRIA, LA 71303-3096
(318) 625-7050
(318) 625-7197
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC1557
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/25/2017
Last updated
07/29/2024
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