Individual
MS. JENNIFER MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED., LIMHP
Contact information
Practice address
102 N 5TH ST, DONIPHAN, NE 68832-9810
(308) 380-7700
Mailing address
102 N 5TH ST, P.O. BOX 25, DONIPHAN, NE 68832-9810
(308) 380-7700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1132
NE
101YM0800X
Mental Health Counselor
8510
NH
Other
Enumeration date
01/11/2008
Last updated
04/07/2014
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