Individual
DAVIEON DAVIS-MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 508-0778
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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