Individual
LORETTA H DAVIS
Active
Individual
LORETTA H DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1525
NC
101YP2500X
Professional Counselor
Primary
7577
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982939468
BCBS
NC
05
—
1982939468
—
NC
Enumeration date
10/16/2009
Last updated
05/11/2017
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