Individual
AMBER L. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6228 GREENE ST BSMT, PHILADELPHIA, PA 19144-2618
(267) 602-1064
Mailing address
4038 RENO ST, PHILADELPHIA, PA 19104-4837
(484) 522-2315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0011584
DE
101YP2500X
Professional Counselor
PC016517
PA
Other
Enumeration date
12/05/2023
Last updated
03/01/2024
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