MS. Laconyer Davis, MACC, LPC, NCC, CADC
NPI #1063956894 in Calumet City, Illinois
Provider Information
- NPI Number
- 1063956894
- Entity Type
- Individual
- Name
- MS. Laconyer Davis, MACC, LPC, NCC, CADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MACC, LPC, NCC, CADC
- Enumeration Date
- Dec 13, 2016
- Last Updated
- Dec 13, 2016
Practice Location
- Address
- 1473 RING RD
- Address 2
- GREAT HEIGHTS FAMILY MEDICINE
- City
- Calumet City
- State
- Illinois
- ZIP Code
- 60409-5459
- Phone
- (312) 885-2195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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