MRS. Diane Davis, LICENSED MENTAL HEAL

NPI #1013356807 in Brooklyn, New York

Provider Information

NPI Number: 1013356807
Entity Type: Individual
Name: MRS. Diane Davis, LICENSED MENTAL HEAL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LICENSED MENTAL HEAL
Enumeration Date: Jun 14, 2013
Last Updated: Jun 14, 2013

Practice Location

Address: 2803 W 37TH ST
Address 2: 1ST FLOOR
City: Brooklyn
State: New York
ZIP Code: 11224-1562
Phone: (718) 954-5553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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