Individual
MR. JEFFREY WAYNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
3625 MANCHACA RD, SUITE 202, AUSTIN, TX 78704-6631
(512) 850-7736
Mailing address
4524 SPEEDWAY, AUSTIN, TX 78751-3009
(512) 850-7736
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11727
TX
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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