Jacobi Correll Davis, MHS
Counselor in Shreveport, LA. Individual provider (NPI-1).
NPI number1770031007
StatusActive
Last updated in NPPESSep 15, 2016
Details
- NPI
- 1770031007
- Entity type
- Individual (NPI-1)
- Name
- Jacobi Correll Davis
- Credential
- MHS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2016
- Last updated
- Sep 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
7007 Bobtail DrShreveport, LA 71129-3417
Phone 318-364-7766
Mailing address
7007 Bobtail DrShreveport, LA 71129-3417
Phone 318-364-7766
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