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VASHETTE SHALON DAVIS LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1740636075

Individual Registrant:
 VASHETTE SHALON DAVIS LPC
Gender: F
Sole Proprietor

Location and contact information for practice:
596 LEE ROAD 601  PHENIX CITY, AL 36870-7948 US
Tel: 201-701-3227  Fax: --

Contact information for business:
596 LEE ROAD 601  PHENIX CITY, AL 36870-7948 US
Tel: 910-224-4441  Fax: --

Registration Information:
NPI: 1740636075
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
MO2016013362
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
AL4075

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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