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James Davis

Counselor, Pastoral in Laveen, AZ. Individual provider (NPI-1).

NPI number1013567643
StatusActive
Last updated in NPPESSep 16, 2019

Details

NPI
1013567643
Entity type
Individual (NPI-1)
Name
James Davis
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 16, 2019
Last updated
Sep 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP1600X Counselor, Pastoral1846529MDYes
101YM0800X Counselor, Mental Health–AZ
101YP2500X Counselor, Professional–GA
101YS0200X Counselor, School–AZ

Practice location

6827 W Carter Rd
Laveen, AZ 85339-7051

Phone 602-751-3823

Mailing address

6827 W Carter Rd
Laveen, AZ 85339-7051

Phone 602-751-3823

Other practice locations

306 E Harvard Ave
Gilbert, AZ 85234-3352

Phone 480-310-2874

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