Bryonna Davis, LGPC
Counselor, Professional in Largo, MD. Individual provider (NPI-1).
NPI number1104581982
StatusActive
Last updated in NPPESNov 5, 2021
Details
- NPI
- 1104581982
- Entity type
- Individual (NPI-1)
- Name
- Bryonna Davis
- Credential
- LGPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2021
- Certification date
- Oct 6, 2021
- Last updated
- Nov 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LGP11039 | MD | Yes |
Practice location
9475 Lottsford Rd Ste 250Largo, MD 20774-5346
Phone 301-636-6504
Mailing address
1346 4th St Se Apt 807Washington, DC 20003-2647
Phone 804-873-4887
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