Individual
DESIREE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
215 N JEFFERSON ST, ROCKVILLE, IN 47872-1711
(765) 569-2031
(765) 569-2542
Mailing address
620 8TH AVE, TERRE HAUTE, IN 47804-2771
(812) 231-8323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004753A
IN
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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