Individual
LISA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1450 E 10TH ST, ROLLA, MO 65401-3648
(844) 853-8937
(573) 364-4898
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018028485
MO
Other
Enumeration date
08/06/2018
Last updated
10/19/2021
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