Individual
NAOMI J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
550 FOREST AVE STE 103, PORTLAND, ME 04101-1505
(207) 221-0635
(207) 221-0634
Mailing address
550 FOREST AVE STE 103, PORTLAND, ME 04101-1505
(207) 221-0635
(207) 221-0634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL6323
ME
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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