Individual
JONATHAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 22ND ST, ASHLAND, KY 41101-7803
(606) 324-1141
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
285732
KY
103T00000X
Psychologist
—
—
Other
Enumeration date
04/05/2022
Last updated
07/27/2023
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