Individual
DESTINY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1249 HARTFORD AVE SW, ATLANTA, GA 30310-4216
(404) 905-3391
Mailing address
1249 HARTFORD AVE SW, ATLANTA, GA 30310-4216
(860) 605-7944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC007491
GA
101YP2500X
Professional Counselor
Primary
LPC013144
GA
Other
Enumeration date
06/22/2020
Last updated
08/15/2024
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