Jacqueline Davis
NPI #1033512405 in Jerseyville, Illinois
Provider Information
- NPI Number
- 1033512405
- Entity Type
- Individual
- Name
- Jacqueline Davis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 30, 2014
- Last Updated
- Oct 2, 2014
Practice Location
- Address
- 118 KRAUSE DR
- City
- Jerseyville
- State
- Illinois
- ZIP Code
- 62052-3610
- Phone
- (618) 498-1808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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