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Individual

SHANNON M DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1201 N WATSON RD STE 177, ARLINGTON, TX 76006-6223
(214) 903-4434
Mailing address
512 N HAMPTON RD STE 278, DESOTO, TX 75115-4920
(214) 903-4434

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
79218
TX
101YM0800X
Mental Health Counselor
TPMC2599
FL
101YP2500X
Professional Counselor
79218
TX

Other

Enumeration date
05/01/2020
Last updated
11/27/2023
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