Matthew Davis, LPC
Counselor, Professional in Cabot, AR. Individual provider (NPI-1).
NPI number1982938999
StatusActive
Last updated in NPPESJun 9, 2021
Details
- NPI
- 1982938999
- Entity type
- Individual (NPI-1)
- Name
- Matthew Davis
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2009
- Certification date
- Jun 9, 2021
- Last updated
- Jun 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | P1608104 | AR | Yes |
Practice location
3358 S 2nd St Ste A-CCabot, AR 72023-7873
Phone 501-286-6053 · Fax 501-286-6090
Mailing address
2809 Forest Home RdJonesboro, AR 72401-5320
Phone 866-972-1268
Other practice locations
3358 S 2nd St Ste D
Cabot, AR 72023-7876
Cabot, AR 72023-7876
Phone 501-286-6053 · Fax 501-286-6090
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