Individual
KATIE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCDC, LPA
Contact information
Practice address
10300 N CENTRAL EXPY STE 280, DALLAS, TX 75231-8666
(972) 322-4523
Mailing address
7130 CLIFFBROOK DR, DALLAS, TX 75254-8004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12755
TX
103T00000X
Psychologist
Primary
37185
TX
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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